Provider Demographics
NPI:1871389676
Name:BAYOU ENVIRONMENTAL JUSTICE COALITION
Entity type:Organization
Organization Name:BAYOU ENVIRONMENTAL JUSTICE COALITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:QUISHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:REED-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-997-2799
Mailing Address - Street 1:325 MERGANSER DR
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-7089
Mailing Address - Country:US
Mailing Address - Phone:707-997-2799
Mailing Address - Fax:
Practice Address - Street 1:724 MICHELBOOK LN
Practice Address - Street 2:
Practice Address - City:RIO VISTA
Practice Address - State:CA
Practice Address - Zip Code:94571-5118
Practice Address - Country:US
Practice Address - Phone:707-997-2799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYOU ENVIRONMENTAL JUSTICE COALITION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty