Provider Demographics
NPI:1679067482
Name:REDDING ALTERNATIVES, INC.
Entity Type:Organization
Organization Name:REDDING ALTERNATIVES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SALCIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-605-0189
Mailing Address - Street 1:999 MISSION DE ORO DR STE 103
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-3861
Mailing Address - Country:US
Mailing Address - Phone:530-605-0189
Mailing Address - Fax:530-605-4428
Practice Address - Street 1:999 MISSION DE ORO DR STE 103
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-3861
Practice Address - Country:US
Practice Address - Phone:530-605-0189
Practice Address - Fax:530-605-4428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA952823OtherBEACON HEALTH OPTIONS