Provider Demographics
NPI:1972783744
Name:HUMBOLDT COUNTY PROBATION DEPARTMENT
Entity type:Organization
Organization Name:HUMBOLDT COUNTY PROBATION DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PROBATION OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RASINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-268-3308
Mailing Address - Street 1:2002 HARRISON STREET
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-3212
Mailing Address - Country:US
Mailing Address - Phone:707-445-7401
Mailing Address - Fax:707-443-7139
Practice Address - Street 1:720 WOOD STREET
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501
Practice Address - Country:US
Practice Address - Phone:707-441-3724
Practice Address - Fax:707-441-3711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171M00000X251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management