Organization
TOUTLE RIVER RANCH, INC.
Active
Other names
Youth and Family Link
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ELAINE MANSKER (DATA COORDINATOR)
(360) 423-6741
Entity
Organization
Contact information
Practice address
907 DOUGLAS ST, LONGVIEW, WA 98632-2155
(360) 423-6741
(360) 501-6510
Mailing address
PO BOX 2052, 907 DOUGLAS STREET, LONGVIEW, WA 98632-8179
(360) 423-6741
(360) 501-6510
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
222
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7119834
—
WA
Enumeration date
05/24/2005
Last updated
11/16/2011
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