Provider Demographics
NPI:1932653995
Name:ALTRIAN, INC
Entity Type:Organization
Organization Name:ALTRIAN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-691-5190
Mailing Address - Street 1:PO BOX 2227
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-0222
Mailing Address - Country:US
Mailing Address - Phone:510-774-9570
Mailing Address - Fax:800-691-5190
Practice Address - Street 1:3345 SPYGLASS CT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-8310
Practice Address - Country:US
Practice Address - Phone:510-774-9570
Practice Address - Fax:800-691-5190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAGENCYOtherAGENCY