| NPI | 1275850869 |
|---|---|
| Doing Business As | VICTORY MOUNTAIN BOYS RANCH |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SHAWN SKINNER President 573-546-7592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 001770712) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |