Organization
CIRCLE C RANCH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAYNISHA MCDONALD (ADMINISTRATOR)
(916) 295-8582
Entity
Organization
Contact information
Practice address
342 BEST RD, STOCKTON, CA 95215-9711
(916) 295-8582
Mailing address
342 BEST RD, STOCKTON, CA 95215-9711
(916) 295-8582
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
COUNTY
—
Enumeration date
09/27/2021
Last updated
09/27/2021
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