MEDICARE: ENVIRONMENTAL ALTERNATIVES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	251X00000X	Supports Brokerage Agency
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1407598253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENVIRONMENTAL ALTERNATIVES

Provider Business Mailing Address
First Line	:	4221 NORTHGATE BLVD STE 2
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1227
Country	:	US
Telephone Number	:	916-913-1297
Fax Number	:	530-231-0265

Provider Business Practice Location Address
First Line	:	4221 NORTHGATE BLVD STE 2
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1227
Country	:	US
Telephone Number	:	916-913-1297
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MELODY KING
Credential	:
Telephone Number	:	530-283-3330

Provider Enumeration Date	:	04/12/2022
Last Update Date	:	12/09/2024

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Directions to “ENVIRONMENTAL ALTERNATIVES ” Practice Location

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