Organization · Type 2 NPI

Diana's Boarding Home, Inc

Mental Illness Community Based Residential Treatment Facility · Marble Hill, MO

NPI number 1396900916 Active

Practice location

HC 64 Box 4677
Marble Hill, MO 63764-9408

Fax (573) 238-3361

Mailing address

HC64 Box 4677, Diana's Boarding Home, Inc
Marble Hill, MO 63764

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X300-10547 (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.

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About NPI 1396900916

Diana's Boarding Home, Inc's National Provider Identifier is 1396900916, issued on Jul 23, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Marble Hill, MO. The record was last updated on Jul 23, 2008.