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ROCKY CREEK YOUTH RANCH INCORPORTATED
NPI 1790148971
Residential Treatment Facility, Emotionally Disturbed Children in Park Hills, MO

Active since April 04, 2016
1286 MATTHEWS LN, PARK HILLS, MO 63601(573) 562-7751 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rocky Creek Youth Ranch Incorportated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCKY CREEK YOUTH RANCH INCORPORTATED (NPI 1790148971) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Park Hills, Missouri and active in the NPI registry since April 2016. The organization lists Cliff Talley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790148971
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameROCKY CREEK YOUTH RANCH INCORPORTATED
Location Address1286 MATTHEWS LNPark Hills, MO 63601-7207
Mailing Address1286 Matthews LnPark Hills, MO 63601-7207
Phone(573) 562-7751
Organization SubpartNo
Authorized OfficialCliff TalleyExecutive Director · (573) 562-7751
Enumeration DateApril 4, 2016
✔ NPI 1790148971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in MO · N000701465
Definition
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.
1286 MATTHEWS LN, Park Hills, MO 63601
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA DROST LMSW
Social Worker
1286 MATTHEWS LN
PARK HILLS, MO 63601
St. Francois County (573) 562-7751
WALTER MAJOR LPC
Counselor (Professional)
1286 MATTHEWS LN
PARK HILLS, MO 63601
St. Francois County (573) 562-7751
PATSY GILBO M.S., PLPC
Counselor (Professional)
1286 MATTHEWS LN
PARK HILLS, MO 63601
St. Francois County (573) 562-7751
MARIA DE JESUS ALONSO GIL LMSW
Social Worker
1286 MATTHEWS LN
PARK HILLS, MO 63601
St. Francois County (573) 562-7751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rocky Creek Youth Ranch Incorportated's NPI number?

The NPI number for Rocky Creek Youth Ranch Incorportated is 1790148971. It was assigned to this organization in the NPPES registry on April 4, 2016.

Where is Rocky Creek Youth Ranch Incorportated located?

Rocky Creek Youth Ranch Incorportated is located at 1286 Matthews Ln, Park Hills, MO 63601. The listed phone number is (573) 562-7751.

What is Rocky Creek Youth Ranch Incorportated's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Rocky Creek Youth Ranch Incorportated was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.