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Organization
THE SHEPHERD'S RANCH, INC.
Active
Organization
THE SHEPHERD'S RANCH, INC.
Active
Other names
Hidden Meadows Christian Youth Ranch, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI LEE ROBINSON EAP II, CHA II, CSSI (EXECUTIVE DIRECTOR)
(336) 492-2308
Entity
Organization
Contact information
Practice address
209 HIDDEN MEADOWS TRL, MOCKSVILLE, NC 27028-4976
(336) 492-2308
(336) 492-2308
Mailing address
209 HIDDEN MEADOWS TRL, MOCKSVILLE, NC 27028-4976
(336) 492-2308
(336) 492-2308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300982
—
NC
Enumeration date
01/08/2007
Last updated
08/22/2020
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