Organization · Type 2 NPI
Maranatha Laura
Mental Illness Community Based Residential Treatment Facility · Bonne Terre, MO
NPI number
1598048571
Active
Practice location
7233 Hillsboro Rd
Bonne Terre, MO 63628-3491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 2000154534 (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 1598048571
Maranatha Laura's National Provider Identifier is 1598048571, issued on Sep 26, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Bonne Terre, MO. The record was last updated on Sep 26, 2011.