Individual provider · Type 1 NPI

Derek Wayne Stricklin, PLPC

Emotionally Disturbed Childrens' Residential Treatment Facility · Fredericktown, MO

NPI number 1598044083 Active

Practice location

1800 Madison 257
Fredericktown, MO 63645-8273

Fax (573) 783-4409

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X2011025373 (MO)

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.

5 other providers at this address

About NPI 1598044083

Derek Wayne Stricklin, PLPC's National Provider Identifier is 1598044083, issued on Aug 15, 2011. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Fredericktown, MO. The record was last updated on Aug 15, 2011.