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Organization

ANTORA YOUTH RANCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEANE OLIVER (EXECUTIVE DIRECTOR)
(970) 640-5765
Entity
Organization

Contact information

Practice address
9230 6400 RD, MONTROSE, CO 81401-8200
(970) 640-5765
Mailing address
9230 6400 RD, MONTROSE, CO 81401-8200
(970) 640-5765

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
07/07/2026
Last updated
07/07/2026
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