Provider Demographics
NPI:1649411752
Name:ART THERAPY INSTITUTE OF THE REDWOODS
Entity Type:Organization
Organization Name:ART THERAPY INSTITUTE OF THE REDWOODS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ART THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ATR-BC
Authorized Official - Phone:707-485-0105
Mailing Address - Street 1:10151 EAST RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95470-9728
Mailing Address - Country:US
Mailing Address - Phone:707-485-0105
Mailing Address - Fax:707-485-5060
Practice Address - Street 1:10151 EAST RD
Practice Address - Street 2:
Practice Address - City:REDWOOD VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95470-9728
Practice Address - Country:US
Practice Address - Phone:707-485-0105
Practice Address - Fax:707-485-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89-003251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health