Organization · Type 2 NPI

Woodhaven

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbia, MO

NPI number 1629292644 Active

Practice location

1405 Hathman Pl
Columbia, MO 65201-5552

Call (573) 876-7302 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center 261QA0600XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1629292644

Woodhaven's National Provider Identifier is 1629292644, issued on Apr 12, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Columbia, MO. The record was last updated on Jun 19, 2024.