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Jeffrey R Hodgson Md Corporation
Substance Abuse Rehabilitation Facility in Fiddletown, California
NPI 1164146684

Jeffrey R Hodgson Md Corporation is a Substance Abuse Rehabilitation Facility based in Fiddletown, CA. Jeffrey R Hodgson Md Corporation practices in Fiddletown, CA. The NPI Number for Jeffrey R Hodgson Md Corporation is 1164146684 and holds a License No. (California).

The current practice location address for Jeffrey R Hodgson Md Corporation is 20100 Quartz Moutain Road North, Fiddletown, CA and can be reached out via phone at 312-305-9378.

Location: 20100 Quartz Moutain Road North, Fiddletown, CA, 95629-0353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164146684
Provider Name
Jeffrey R Hodgson Md Corporation
Credential
Provider Entity Type
Organization
Address
20100 Quartz Moutain Road North, Fiddletown, CA, 95629-0353
Phone Number
312-305-9378
Fax Number
Provider Enumeration Date
09/28/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
20100 Quartz Moutain Road North
City
Fiddletown
State
California
Zip
95629
Phone Number
312-305-9378
Fax Number
person
Provider Business Mailing Address Details
Address
20100 Quartz Moutain Road North
City
Fiddletown
State
California
Zip
95629
Phone Number
312-305-9378
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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