Organization · Type 2 NPI

Wild Souls Ranch

Community/Behavioral Health Agency · Fortuna, CA

NPI number 1104702570 Active

Practice location

2870 Nelson Ln
Fortuna, CA 95540-1708

Call (707) 617-0356 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1104702570

Wild Souls Ranch's National Provider Identifier is 1104702570, issued on Aug 12, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fortuna, CA. The record was last updated on Oct 15, 2025.