# VALLEY SPRINGS ENTERPRISES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Springs Youth Ranch
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952424566
- **Authorized official:** NICHOLAS RYAN MAYES (GENERAL MANAGER)
- **Authorized official phone:** (573) 269-4291

## Contact information

- **Practice address:** 525 COUNTY ROAD 816, BLACK, MO 63625-9115
- **Practice address phone:** (573) 269-4291
- **Practice address fax:** (573) 269-4202
- **Mailing address:** RR 1 BOX 127, BLACK, MO 63625-9704
- **Mailing address phone:** (573) 269-4291
- **Mailing address fax:** (573) 269-4202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | 000660 | MO | — |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 09/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 489582863 | — | MO |