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Organization
VALLEY SPRINGS ENTERPRISES, INC.
Active
Organization
VALLEY SPRINGS ENTERPRISES, INC.
Active
Other names
Valley Springs Youth Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RYAN MAYES (GENERAL MANAGER)
(573) 269-4291
Entity
Organization
Contact information
Practice address
525 COUNTY ROAD 816, BLACK, MO 63625-9115
(573) 269-4291
(573) 269-4202
Mailing address
RR 1 BOX 127, BLACK, MO 63625-9704
(573) 269-4291
(573) 269-4202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
000660
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
489582863
—
MO
Enumeration date
04/09/2007
Last updated
09/23/2022
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