Rocky Creek Youth Ranch Incorportated
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Park Hills, MO
NPI 1790148971 · NPPES record last updated Apr 4, 2016
Key facts
- NPI
- 1790148971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- N000701465 (MO)
- Legal business name
- ROCKY CREEK YOUTH RANCH INCORPORTATED
- Practice address
- 1286 Matthews LN
Park Hills, MO 63601-7207 - Phone
- (573) 562-7751
- NPI assigned
- Apr 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Cliff Talley
- Title
- Executive Director
- Phone
- (573) 562-7751
Practitioners 5
-
Bethany Renae Aubuchon, LCSW
-
Sara Drost, LMSW
-
Patsy Gilbo, M.S., PLPC
-
Walter Major, LPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | N000701465 | MO | Yes |
Addresses
Primary practice location
1286 Matthews LN
Park Hills, MO 63601-7207
Mailing address
1286 Matthews LN
Park Hills, MO 63601-7207
Other providers in Park Hills, MO
- Carolyn D Raynor-McClanahan
- Catherine Reando
- April Dawn Rector
- Lee Ann Roberts
- Legacy Grace Robinson
- Karen Rose
- Jeffrey Joseph Rustige
- Seasons Counseling Center LLC
- Serenity Hospicecare
- Deborah L Sherrill
All providers in Park Hills, MO · Emotionally Disturbed Childrens' Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.