Organization
THE RANCH AT LA PLATA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J.W. MEYER (OWNER)
(806) 360-3784
Entity
Organization
Contact information
Practice address
121 WEST FOURTH, HEREFORD, TX 79045-5347
(806) 360-3784
(806) 364-5097
Mailing address
121 WEST FOURTH, HEREFORD, TX 79045-5347
(806) 360-3784
(806) 364-5097
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/03/2011
Last updated
02/08/2011
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