Organization
VALLEY SPRINGS YOUTH RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE MAYES (ADMINISTRATOR)
(573) 269-4291
Entity
Organization
Contact information
Practice address
525 COUNTY ROAD 816, BLACK, MO 63625-9115
(573) 269-4291
(573) 269-4202
Mailing address
525 COUNTY ROAD 816, BLACK, MO 63625-9115
(573) 269-4291
(573) 269-4202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2012031864
MO
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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