| The Dodaaw Ranch | |
|
2404 Cook Avenue Modesto CA 95358 | |
| (209) 567-2455 | |
| Not Available |
| Full Name | The Dodaaw Ranch |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2404 Cook Avenue, Modesto, California |
| Authorized Official Name and Position | Wendy Hannah Dyann Miller (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2095687544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dodaaw Ranch 2404 Cook Avenue Modesto CA 95358 Ph: (209) 567-2455 | The Dodaaw Ranch 2404 Cook Avenue Modesto CA 95358 Ph: (209) 567-2455 |
| NPI Number | 1477145480 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477145480 | NPI | - | NPPES |
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