Brookhaven Youth Ranch, Inc.

NPI #1740321686 in West, Texas

Provider Information

NPI Number: 1740321686
Entity Type: Organization
Organization Name: Brookhaven Youth Ranch, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Feb 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5467 ROGERS HILL RD
City: West
State: Texas
ZIP Code: 76691-2415
Phone: (254) 829-1893

Authorized Official

Name: MR. BILL GHOLSON, MSW
Title: EXECUTIVE DIRECTOR
Phone: (254) 829-1893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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