Organization · Type 2 NPI
Spring Lake Ranch
Mental Illness Community Based Residential Treatment Facility · Cuttingsville, VT
NPI number
1336348705
Active
Practice location
1169 Spring Lake Rd
Cuttingsville, VT 05738-4418
Fax (802) 492-3331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 0526 (VT) |
| Substance Abuse Rehabilitation Facility | 324500000X | 0526 (VT) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
About NPI 1336348705
Spring Lake Ranch's National Provider Identifier is 1336348705, issued on Jul 16, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Cuttingsville, VT. The record was last updated on Jul 16, 2007.