Provider Demographics
NPI:1942328869
Name:INDIVIDUAL'S NOW, INC
Entity Type:Organization
Organization Name:INDIVIDUAL'S NOW, INC
Other - Org Name:SOCIAL ADVOCATES FOR YOUTH - TAMAYO VILLAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:IRIKS
Authorized Official - Suffix:
Authorized Official - Credentials:MFT #82225
Authorized Official - Phone:707-544-3299
Mailing Address - Street 1:1700 YULUPA AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-7721
Mailing Address - Country:US
Mailing Address - Phone:707-544-3299
Mailing Address - Fax:707-544-6837
Practice Address - Street 1:1700 YULUPA AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-7721
Practice Address - Country:US
Practice Address - Phone:707-544-3299
Practice Address - Fax:707-544-6837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management