Organization
MORE TO LIFE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ROSS HODGSON MD (CEO)
(209) 206-1177
Entity
Organization
Contact information
Practice address
20100 QUARTZ MOUNTAIN ROAD NORTH, FIDDLETOWN, CA 95629
(209) 206-1177
Mailing address
PO BOX 353, FIDDLETOWN, CA 95629-0353
(209) 206-1177
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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