Transitional Residential Treatment Facilities

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

TRANSITIONAL RESIDENTIAL TREATMENT FACILITIES

Practice address

1010 W Henderson St
Eureka, CA 95501-3545

Phone

(707) 444-8213

Fax

(707) 444-3715

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William L Duncan

Title

Executive Director

Phone

(707) 444-8123

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeff David Graham

  • Case Management Agency
  • Eureka, CA
  • NPI 1184827461
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164646048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6299",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955026299",
            "telephone_number": "707-444-8213",
            "fax_number": "707-444-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W HENDERSON ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013545",
            "telephone_number": "707-444-8213",
            "fax_number": "707-444-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL RESIDENTIAL TREATMENT FACILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-444-8123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Townsend, LCSW
• Susan Marcy Townsend, RN
• Natalie Tracy, R.S.
• Diem CHI Ngoc Tran
• Thanh Tran
• Paul Anthony Trausch
• Tonya Traylor, RN
• Darina Trendafilova
• Patrice Trevoledes, MA,MFT
• Tri-County Independent Living

• Mental Illness Community Based Residential Treatment Facility in Eureka, CA
• Providers in Eureka, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.