NPI 1073368502

Redwood Teen Challenge

Organisation Lodging Provider Eureka, CA

Practice location

Address: 2844 Fairfield St, Eureka, CA 95501-3525
Phone: (707) 268-8727
Mailing address: 1435 7th St, Eureka, CA 95501-0615

Authorised official

Name: Marlene L Sin
Title: Finance Administrator
Phone: (707) 268-8727

Registered specialties (3)

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

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Meals Provider

Other Service Providers Taxonomy 174200000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1073368502
Entity type: Organization
NPI issued: 18 Apr 2024
Record last updated: 18 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.