Spring Lake Ranch

NPI #1336348705 in Cuttingsville, Vermont

Provider Information

NPI Number: 1336348705
Entity Type: Organization
Organization Name: Spring Lake Ranch
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jul 16, 2007
Last Updated: Jul 16, 2007

Practice Location

Address: 1169 SPRING LAKE RD
City: Cuttingsville
State: Vermont
ZIP Code: 05738-4418
Phone: (802) 492-3322

Authorized Official

Name: ANDREW RICHARDS-PEELLE
Title: BUSINESS MANAGER
Phone: (802) 492-3322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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