Provider Demographics
NPI:1750190583
Name:ROWELL FAMILY EMPOWERMENT OF NORTHERN CALIFORNIA, INC.
Entity type:Organization
Organization Name:ROWELL FAMILY EMPOWERMENT OF NORTHERN CALIFORNIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRECIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MICN
Authorized Official - Phone:530-226-5129
Mailing Address - Street 1:3330 CHURN CREEK RD.
Mailing Address - Street 2:BUILDING A-1
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002
Mailing Address - Country:US
Mailing Address - Phone:530-226-5129
Mailing Address - Fax:530-226-5141
Practice Address - Street 1:3330 CHURN CREEK RD.
Practice Address - Street 2:BUILDING A-1
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002
Practice Address - Country:US
Practice Address - Phone:530-226-5126
Practice Address - Fax:530-226-5141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty