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Organization

VALLEY TEEN RANCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANDREA MICHELE EVANS (CEO)
(559) 437-1144
Entity
Organization

Contact information

Practice address
10535 ROAD 35, MADERA, CA 93636-8487
(559) 437-1144
(559) 438-5004
Mailing address
2610 W SHAW LN STE 105, FRESNO, CA 93711-2775
(559) 437-1144
(559) 438-5004

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
01/06/2016
Last updated
10/20/2025
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