Organization
TOUTLE RIVER RANCH, INC.
Active
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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