| NPI | 1720165368 |
|---|---|
| Doing Business As | FRUITRIDGE TRANSITIONAL HOME |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SMITH Executive Director Reimbursement 209-955-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-05-20 |