NPI Code Detail JSON Logo

1477763225 NPI number — THE REDWOOD FAMILY INSTITUTE

NPI Number: 1477763225
Health Care Provider/Practitioner: THE REDWOOD FAMILY INSTITUTE

Information about “1477763225” NPI (THE REDWOOD FAMILY INSTITUTE) exists in 1477763225 in HTML format HTML  |  1477763225 in plain Text format TXT  |  1477763225 in PDF (Portable Document Format) PDF  |  1477763225 in an XML format XML  formats.

NPI Number : 1477763225 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477763225",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE REDWOOD FAMILY INSTITUTE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "935 3RD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EUREKA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95501-0513",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-444-8895",
    "MailingAddressFaxNumber": "707-444-0220",
    "FirstLinePracticeLocationAddress": "935 3RD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EUREKA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95501-0513",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-444-8895",
    "PracticeLocationAddressFaxNumber": "707-444-0220",
    "EnumerationDate": "05/23/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOSGOFIAN",
    "AuthorizedOfficialFirstName": "PETER",
    "AuthorizedOfficialMiddleName": "T.",
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MFT",
    "AuthorizedOfficialTelephoneNumber": "707-444-8895",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "MFC16487",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.