Organization · Type 2 NPI

Holistic Individual Support Living LLC

Mental Illness Community Based Residential Treatment Facility · Jefferson City, MO

NPI number 1215744198 Active

Practice location

529 Aurora Ave
Jefferson City, MO 65101-2816

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1215744198

Holistic Individual Support Living LLC's National Provider Identifier is 1215744198, issued on Dec 14, 2024. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Jefferson City, MO. The record was last updated on Dec 30, 2024.