Organization · Type 2 NPI
Michael W. Prenger Family Center
Emotionally Disturbed Childrens' Residential Treatment Facility · Jefferson City, MO
Practice location
400 Stadium Blvd
Jefferson City, MO 65101-2811
Fax (573) 634-5162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
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.
About NPI 1063659019
Michael W. Prenger Family Center's National Provider Identifier is 1063659019, issued on Jan 13, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Jefferson City, MO. The record was last updated on Jan 13, 2009.