OrganizationActive
Rocky Creek Youth Ranch Incorportated
NPI 1790148971 · Emotionally Disturbed Childrens' Residential Treatment Facility · Park Hills, MO
Provider details
- NPI number
- 1790148971
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cliff Talley, Executive Director(573) 562-7751
- License
- N000701465 (MO)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense N000701465 (MO)
Residential Treatment Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1286 Matthews Ln
Park Hills, MO 63601-7207
Phone: (573) 562-7751
Street-level locationGet directions
Mailing address
1286 Matthews Ln
Park Hills, MO 63601-7207
Registry dates
- Enumerated
- 2016-04-04
- Last updated
- 2016-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.