| NPI | 1831442201 |
|---|---|
| Doing Business As | C-V RANCH |
| Entity Type | Organization |
| Authorized Contact | MAYLING H SUMICAD Occupational Therapist 307-733-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: WY OTR598) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WY OTR598) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |