# BOYS RANCH OF NACOGDOCHES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nacogdoches Boys Ranch
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710193461
- **Authorized official:** MR. GEORGE WILLIAM HARRISON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (936) 569-0293

## Contact information

- **Practice address:** 7245 FM 1275, NACOGDOCHES, TX 75961-3867
- **Practice address phone:** (936) 569-0293
- **Practice address fax:** (936) 569-7207
- **Mailing address:** 7245 FM 1275, NACOGDOCHES, TX 75961-3867
- **Mailing address phone:** (936) 569-0293
- **Mailing address fax:** (936) 569-7207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | TX | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 08/22/2020
