| Valley Springs Youth Ranch | |
|
525 County Road 816 Black MO 63625-9115 | |
| (573) 269-4291 | |
| (573) 269-4202 |
| Full Name | Valley Springs Youth Ranch |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 525 County Road 816, Black, Missouri |
| Authorized Official Name and Position | Jamie Mayes (ADMINISTRATOR) |
| Authorized Official Contact | 5732694291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Springs Youth Ranch 525 County Road 816 Black MO 63625-9115 Ph: (573) 269-4291 | Valley Springs Youth Ranch 525 County Road 816 Black MO 63625-9115 Ph: (573) 269-4291 |
| NPI Number | 1851791693 |
|---|---|
| Provider Enumeration Date | 08/29/2014 |
| Last Update Date | 08/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851791693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2012031864 (Missouri) | Primary |
Valley Springs Enterprises, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 County Road 816, Black, MO 63625 Phone: 573-269-4291 Fax: 573-269-4202 |