Healthcare Provider Details

I. General information

NPI: 1922888981
Provider Name (Legal Business Name): ENVIRONMENTAL ALTERNATIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 F ST
BAKERSFIELD CA
93301-1839
US

IV. Provider business mailing address

3201 F ST
BAKERSFIELD CA
93301-1839
US

V. Phone/Fax

Practice location:
  • Phone: 661-557-1457
  • Fax:
Mailing address:
  • Phone: 661-557-1457
  • Fax: 530-231-0265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELODY KING
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 530-283-3330