Organization Active NPI

Alternatives to Domestic Violence

  • Community/Behavioral Health Agency
  • Riverside, CA
National Provider Identifier
1891082277
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALTERNATIVES TO DOMESTIC VIOLENCE
Practice address
4150 Latham St
Suite a
Riverside, CA 92501-1735
Phone
(951) 320-1370
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Eliza Woolfolk
Title
Chief Executive Officer
Phone
(951) 320-1370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4150 Latham St
Suite a
Riverside, CA 92501-1735

Mailing address

PO Box 910
Riverside, CA 92502-0910

National Provider Directory

National Provider Directory

Locations

4150 Latham St
Ste A
Riverside, CA 92501
Phone (951) 320-1370

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1891082277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925020910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 LATHAM ST",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011735",
            "telephone_number": "951-320-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVES TO DOMESTIC VIOLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "WOOLFOLK",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "951-320-1370"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.