| Buddys Ranch Llc | |
|
1303 Gray Ave Yuba City CA 95991-3204 | |
| (530) 632-8219 | |
| (916) 500-0609 |
| Full Name | Buddys Ranch Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1303 Gray Ave, Yuba City, California |
| Authorized Official Name and Position | Thomas Harris (CFO) |
| Authorized Official Contact | 5306328219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buddys Ranch Llc Po Box 802 Yuba City CA 95992-0802 Ph: (530) 632-8219 | Buddys Ranch Llc 1303 Gray Ave Yuba City CA 95991-3204 Ph: (530) 632-8219 |
| NPI Number | 1053146076 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053146076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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