Healthcare Provider Details

I. General information

NPI: 1891241634
Provider Name (Legal Business Name): ENVIRONMENTAL ALTERNATIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 MAIN ST
QUINCY CA
95971-9375
US

IV. Provider business mailing address

PO BOX 3940
QUINCY CA
95971-3940
US

V. Phone/Fax

Practice location:
  • Phone: 530-283-3330
  • Fax: 530-283-2150
Mailing address:
  • Phone:
  • Fax: 530-231-0265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MELODY KING
Title or Position: ASSISTANT EXECUTIVE DIRECTOR
Credential: MFT
Phone: 530-518-1889