Organization · Type 2 NPI

Great Circle

Emotionally Disturbed Childrens' Residential Treatment Facility · Columbia, MO

NPI number 1538893441 Active

Practice location

4304 S Bearfield Rd
Columbia, MO 65201-9557

Call (844) 424-3577 Map

Fax (314) 919-4876

Mailing address

330 N Gore Ave
St. Louis, MO 63119-1600

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone 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.

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About NPI 1538893441

Great Circle's National Provider Identifier is 1538893441, issued on Jul 15, 2022. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Columbia, MO. The record was last updated on Jul 15, 2022.