| NPI | 1871391565 |
|---|---|
| Other Name | CY-LES RANCH |
| Entity Type | Organization |
| Authorized Contact | SANDRA LEE DOUGLAS Family Care Giver 314-413-0043 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |