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Organization
OLD OAK RANCH RECOVERY
Active
Organization
OLD OAK RANCH RECOVERY
Active
Other names
The Refuge Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER H KHAN (PRESIDENT)
(209) 588-6164
Entity
Organization
Contact information
Practice address
19401 SUSAN WAY, SONORA, CA 95370-9266
(209) 588-6071
Mailing address
19401 SUSAN WAY, SONORA, CA 95370-9266
(209) 588-7018
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/14/2020
Last updated
08/05/2024
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