# VALLEY TEEN RANCH

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

## Provider details

- **NPI number:** 1861291445
- **Authorized official:** ANDREA MICHELE EVANS (CEO)
- **Authorized official phone:** (559) 437-1144

## Contact information

- **Practice address:** 2610 W SHAW LN STE 105, FRESNO, CA 93711-2775
- **Practice address phone:** (559) 437-1144
- **Mailing address:** 2610 W SHAW LN STE 105, FRESNO, CA 93711-2775
- **Mailing address phone:** (559) 437-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2025
- **Last updated:** 10/10/2025