Provider Demographics
NPI:1003151879
Name:NATIVE ALLIANCE OF THE SIERRA NEVADA FOOTHILLS
Entity Type:Organization
Organization Name:NATIVE ALLIANCE OF THE SIERRA NEVADA FOOTHILLS
Other - Org Name:SIERRA NATIVE ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLISTER
Authorized Official - Middle Name:ANNO
Authorized Official - Last Name:NAKAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-748-8764
Mailing Address - Street 1:PO BOX 6346
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95604-6346
Mailing Address - Country:US
Mailing Address - Phone:530-748-8764
Mailing Address - Fax:530-888-8757
Practice Address - Street 1:610 AUBURN RAVINE RD
Practice Address - Street 2:SUITE G
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-3930
Practice Address - Country:US
Practice Address - Phone:530-748-8764
Practice Address - Fax:530-888-8757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management