Provider Demographics
NPI:1386758837
Name:RIDING HIGH EQUESTRIAN PROGRAM
Entity type:Organization
Organization Name:RIDING HIGH EQUESTRIAN PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HONEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COWAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN MFCC DAPA CRS
Authorized Official - Phone:530-888-8891
Mailing Address - Street 1:11685 LORENSON RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-9111
Mailing Address - Country:US
Mailing Address - Phone:530-888-8891
Mailing Address - Fax:530-888-7899
Practice Address - Street 1:11685 LORENSON RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-9111
Practice Address - Country:US
Practice Address - Phone:530-888-8891
Practice Address - Fax:530-888-7899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFCC 23590106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty