Organization · Type 2 NPI

Boys and Girls Town Missouri

Emotionally Disturbed Childrens' Residential Treatment Facility · Springfield, MO

NPI number 1013086842 Active

Practice location

1212 W Lombard St
Springfield, MO 65806-2720

Fax (417) 866-1483

Mailing address

412 Cardinal Ct
Nixa, MO 65714-8848

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X2002002751 (MO)

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.

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About NPI 1013086842

Boys and Girls Town Missouri's National Provider Identifier is 1013086842, issued on Nov 7, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Springfield, MO. The record was last updated on Oct 23, 2009.