Provider Demographics
NPI:1871630442
Name:REDWOOD COMMUNITY ACTION AGENCY
Entity Type:Organization
Organization Name:REDWOOD COMMUNITY ACTION AGENCY
Other - Org Name:FAMILY SERVICES PROGRAM - COMMUNITY SERVICES DIVISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE COORDINATOR II
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:WILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-269-2003
Mailing Address - Street 1:904 G STREET
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501
Mailing Address - Country:US
Mailing Address - Phone:707-445-0881
Mailing Address - Fax:707-445-0884
Practice Address - Street 1:537 9TH ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-1861
Practice Address - Country:US
Practice Address - Phone:707-445-0881
Practice Address - Fax:707-442-2430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty