Provider Demographics
NPI:1407680465
Name:ROBLES RANCH MENTAL HEALTH INC
Entity type:Organization
Organization Name:ROBLES RANCH MENTAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHEREE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:CADC-CAS, CIP
Authorized Official - Phone:831-245-7736
Mailing Address - Street 1:PO BOX 1190
Mailing Address - Street 2:
Mailing Address - City:TRES PINOS
Mailing Address - State:CA
Mailing Address - Zip Code:95075-1190
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:175 CRIPPLE CREEK RD
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-7435
Practice Address - Country:US
Practice Address - Phone:831-245-7736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility