More to Life Recovery Non-Profit
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Fiddletown, CA
NPI 1558048306 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1558048306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- MORE TO LIFE RECOVERY NON-PROFIT
- Practice address
- 20098 Quartz Mountain Road North
Fiddletown, CA 95629 - Phone
- (209) 206-1177
- NPI assigned
- Jul 3, 2023
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Hodgson
- Title
- Ceo
- Phone
- (209) 206-1177
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
20098 Quartz Mountain Road North
Fiddletown, CA 95629
Mailing address
PO Box 353
Fiddletown, CA 95629-0353
Phone (209) 206-1177
Other providers in Fiddletown, CA
- Jeffrey Ross Hodgson
- Jeffrey R Hodgson MD Corporation
- Jeffrey R Hodgson MD Corporation
- More to Life Recovery
- More to Life Recovery
All providers in Fiddletown, CA · Substance Use Disorder Rehabilitation Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.