NPI | 1952424566 |
---|---|
Doing Business As | VALLEY SPRINGS YOUTH RANCH |
Entity Type | Organization |
Authorized Contact | NICHOLAS RYAN MAYES General Manager 573-269-4291 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 251S00000X |
261QC1500X Clinic/Center, Community Health | |
323P00000X Psychiatric Residential Treatment Facility (Licence: MO 000660) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2022-09-23 |