Organization
REDWOOD TEEN CHALLENGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE L SIN (FINANCE ADMINISTRATOR)
(707) 268-8727
Entity
Organization
Contact information
Practice address
2844 FAIRFIELD ST, EUREKA, CA 95501-3525
(707) 268-8727
Mailing address
1435 7TH ST, EUREKA, CA 95501-0615
(707) 268-8727
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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