Healthcare Provider Details
I. General information
NPI: 1134077498
Provider Name (Legal Business Name): ENVIRONMENTAL ALTERNATIVES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1101 BAY ST
EUREKA CA
95501-1206
US
IV. Provider business mailing address
350 MAIN ST
QUINCY CA
95971-9375
US
V. Phone/Fax
- Phone: 530-283-3330
- Fax:
- Phone: 530-283-3330
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 322D00000X |
| Taxonomy | Emotionally Disturbed Childrens' Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELODY
KING
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 530-283-3330