THE LODGE
NPI 1184231508
Clinic/Center - Adult Mental Health in Fresno, CA
- Organization
- Clinic/Center
- Adult Mental Health
About THE LODGE
This page provides the complete NPI Profile along with additional information for The Lodge, a provider established in Fresno, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1184231508 assigned on September 2020. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The Lodge operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is The Lodge. The authorized official of this NPI record is Kathryn Wilbur Lcsw (Executive Director)
- NPI
- 1184231508 Verify this NPI
- Provider Legal Name
- RH COMMUNITY BUILDERS LP.
- Other Organization Name
- THE LODGE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1040 N PLEASANT AVENUE FRESNO, CA 93728
- Location Phone
- (559) 899-0888
- Mailing Address
- 2550 W CLINTON AVE UNIT 142 FRESNO, CA 93705
- Mailing Phone
- (585) 314-3914
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-29-2020
- Last Update Date
- 03-12-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 2 | 251X00000X | Agencies | Supports Brokerage | |
| 3 | 385H00000X | Respite Care Facility | Respite Care |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184231508, enumerated as an "organization" on September 29, 2020.
The provider is located at 1040 N PLEASANT AVENUE FRESNO, CA 93728 and the phone number is (559) 899-0888.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.