Individual provider · Type 1 NPI
Corbin Jon Dewick
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Springfield, MO
Practice location
4396 W Delmar St
Springfield, MO 65802-7809
Fax (417) 501-8213
Mailing address
1606 N Pine St
Nixa, MO 65714-8704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1609678374
Corbin Jon Dewick's National Provider Identifier is 1609678374, issued on Mar 25, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Springfield, MO. The record was last updated on Apr 15, 2025.