Organization
PROGRESS RANCH TREATMENT SERVICES FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN EARL ELSON PHD (INTERIM EXECUTIVE DIRECTOR)
(530) 753-2566
Entity
Organization
Contact information
Practice address
2725 LOYOLA DR, DAVIS, CA 95618-1554
(530) 753-2566
Mailing address
PO BOX 1287, DAVIS, CA 95617-1287
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570304441
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
09/17/2021
Last updated
11/03/2021
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