Valley Springs Youth Ranch

NPI 1851791693 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1851791693
Enumeration Date 08/29/2014
Last Updated 08/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JAMIE JAMIE
Position ADMINISTRATOR
Phone (573) 269-4291
Fax (573) 269-4202
Practice Location
525 COUNTY ROAD 816
BLACK MO, 63625-9115, US
Phone (573) 269-4291
Fax (573) 269-4202
Business Location
525 COUNTY ROAD 816
BLACK MO, 63625-9115, US
Phone (573) 269-4291
Fax (573) 269-4202
Toxanomy
Taxonomy Code 251S00000X
License State Missouri
License Number 2012031864
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According to our database, Valley Springs Youth Ranch NPI is 1851791693, taxonomy code is 251S00000X and license number is 2012031864, license state is located at Missouri. Valley Springs Youth Ranch physically located at 525 County Road 816, Black MO, 63625-9115. NPI Number 1033115704 has the healthcare provider type.

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1851791693 NPI number is provided on an as is basis without warranty of any kind. 1851791693 is maintained by the National Plan & Provider Enumeration System. The contents of Valley Springs Youth Ranch are for informational purposes only.