THE DODAAW RANCH NPI 1477145480

NPI Information

NPI: 1477145480
Provider Name: THE DODAAW RANCH
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2404 COOK AVENUE
MODESTO, CA
ZIP 95358
Phone: (209) 567-2455
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THE DODAAW RANCH is an addiction (substance use disorder) counselor in Modesto, CA. THE DODAAW RANCH NPI is 1477145480. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2404 COOK AVENUE
MODESTO, CA
ZIP 95358
Phone: (209) 567-2455

The provider's authorized official is Wendy Hannah Dyann Miller .
The authorized official title is Executive Director and has the following contact phone number (209) 568-7544.

The enumeration date for this NPI number is 2/10/2021 and was last updated on 2/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101YP1600X	Counselor	Pastoral	No
3	101YP2500X	Counselor	Professional	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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