Organization · Type 2 NPI
Good Samaritan Boys Ranch
Emotionally Disturbed Childrens' Residential Treatment Facility · Brighton, MO
Practice location
5549 N Highway 13
Brighton, MO 65617-8112
Mailing address
PO Box 617
Brighton, MO 65617-0617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
8 other providers at this address
- Amanda Elizabeth Griffin, PLPCProfessional Counselor Brighton, MO NPI 1154538767
- Angela Siceluff, LCSWClinical Social Worker Brighton, MO NPI 1134336829
- Dixie D. Deal, LPCProfessional Counselor Brighton, MO NPI 1780891366
- Geraldine V. Miller, LCSWClinical Social Worker Brighton, MO NPI 1275740730
- Lindsay M. Wray, MSW, LCSWClinical Social Worker Brighton, MO NPI 1609047653
- Matthew Joseph Moncado, MS, LPCProfessional Counselor Brighton, MO NPI 1801965512
- Tabitha Lee Klessens, LCSWClinical Social Worker Brighton, MO NPI 1023210846
- Tracey Enochs, LPCProfessional Counselor Brighton, MO NPI 1083823371
About NPI 1679771430
Good Samaritan Boys Ranch's National Provider Identifier is 1679771430, issued on Jul 3, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Brighton, MO. The record was last updated on Jun 10, 2026.