Living Water Youth Ranch

LBN: Living Water Youth Ranch
Living Water Youth Ranch is an health care organization with primary practice located at 8382 N Wayne Dr Ste 201 , Hayden ID 83835-6028. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Living Water Youth Ranch can be contacted via phone (208) 762-8777, or through Mccreary, Marissa via phone (208) 981-1992.

Contact Information

Primary practice address
8382 N Wayne Dr Ste 201 Hayden ID 83835-6028
Phone: (208) 762-8777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccreary, Marissa
Phone: (208) 981-1992

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1528795093
LBN Legal business name Living Water Youth Ranch
DBA Doing business as
Authorized official Mccreary, Marissa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2022
Last updated Aug 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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