Organization
VALLEY SPRINGS ENTERPRISES, INC.
Active
Other names
Valley Springs Youth Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RYAN MAYES (GENERAL MANAGER)
(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
RR 1 BOX 127, BLACK, MO 63625-9704
(573) 269-4291
(573) 269-4202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
000660
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
489582863
—
MO
Enumeration date
04/09/2007
Last updated
09/23/2022
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