Organization · Type 2 NPI
DST Inc
Mental Illness Community Based Residential Treatment Facility · Excelsior Springs, MO
NPI number
1295922458
Active
Practice location
410 Superior
Excelsior Springs, MO 64024
Fax (816) 630-6100
Mailing address
PO Box 126, 410 Superior
Excelsior Springs, MO 64024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | 033231 (MO) |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 035519 (MO) |
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.
About NPI 1295922458
DST Inc's National Provider Identifier is 1295922458, issued on Oct 1, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Excelsior Springs, MO. The record was last updated on Jun 30, 2008.