# PROGRESS RANCH TREATMENT SERVICES FOR CHILDREN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285304592
- **Authorized official:** STEVEN EARL ELSON PHD (INTERIM EXECUTIVE DIRECTOR)
- **Authorized official phone:** (530) 753-2566

## Contact information

- **Practice address:** 2725 LOYOLA DR, DAVIS, CA 95618-1554
- **Practice address phone:** (530) 753-2566
- **Mailing address:** PO BOX 1287, DAVIS, CA 95617-1287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2021
- **Last updated:** 11/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 570304441 | CALIFORNIA DEPARTMENT OF SOCIAL SERVICES | CA |