Provider Demographics
NPI:1164791174
Name:TURN AROUND RANCH THERAPEUTIC RIDING CENTER
Entity Type:Organization
Organization Name:TURN AROUND RANCH THERAPEUTIC RIDING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSTRUCTOR/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:THON
Authorized Official - Suffix:
Authorized Official - Credentials:NAHRA CERTIFIED
Authorized Official - Phone:660-492-9072
Mailing Address - Street 1:PO BOX 693
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MO
Mailing Address - Zip Code:64735
Mailing Address - Country:US
Mailing Address - Phone:660-492-9072
Mailing Address - Fax:
Practice Address - Street 1:361 SE 1201ST RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MO
Practice Address - Zip Code:64735-9391
Practice Address - Country:US
Practice Address - Phone:660-492-9072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty