| Wild Souls Ranch | |
|
2870 Nelson Ln Fortuna CA 95540-1708 | |
| (707) 617-0356 | |
| Not Available |
| Full Name | Wild Souls Ranch |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2870 Nelson Ln, Fortuna, California |
| Authorized Official Name and Position | Murray Koch (EXECUTIVE DIRECTION) |
| Authorized Official Contact | 7076170356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Souls Ranch 2870 Nelson Ln Fortuna CA 95540-1708 Ph: (707) 617-0356 | Wild Souls Ranch 2870 Nelson Ln Fortuna CA 95540-1708 Ph: (707) 617-0356 |
| NPI Number | 1104702570 |
|---|---|
| Provider Enumeration Date | 08/12/2025 |
| Last Update Date | 08/12/2025 |
| Certification Date | 08/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104702570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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