Redwood Teen Challenge

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

REDWOOD TEEN CHALLENGE

Practice address

2844 Fairfield St
Eureka, CA 95501-3525

Phone

(707) 268-8727

NPI assigned

Apr 18, 2024

Last updated

Apr 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marlene L Sin

Title

Finance Administrator

Phone

(707) 268-8727

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1073368502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 7TH ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010615",
            "telephone_number": "707-268-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 FAIRFIELD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013525",
            "telephone_number": "707-268-8727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013322",
            "country_code": "US",
            "telephone_number": "707-268-8727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDWOOD TEEN CHALLENGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "SIN",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "707-268-8727"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Holly R Reed, CADC-1
• Melissa Rose Reed
• Ruby Reed
• Barbara F. Reese, MSN-FNP
• Emily Michele Reeves

• Lodging Provider in Eureka, CA
• Providers in Eureka, CA by specialty
• Lodging Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.