Valley Springs Youth Ranch | |
525 County Road 816 Black MO 63625-9115 | |
(573) 269-4291 | |
(573) 269-4202 |
Full Name | Valley Springs Youth Ranch |
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Speciality | Community/behavioral Health |
Location | 525 County Road 816, Black, Missouri |
Authorized Official Name and Position | Jamie Mayes (ADMINISTRATOR) |
Authorized Official Contact | 5732694291 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Valley Springs Youth Ranch 525 County Road 816 Black MO 63625-9115 Ph: (573) 269-4291 | Valley Springs Youth Ranch 525 County Road 816 Black MO 63625-9115 Ph: (573) 269-4291 |
NPI Number | 1851791693 |
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Provider Enumeration Date | 08/29/2014 |
Last Update Date | 08/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851791693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2012031864 (Missouri) | Primary |
Valley Springs Youth Ranch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 County Road 816, Black, MO 63625 Phone: 573-269-4291 Fax: 573-269-4202 |