Organization · Type 2 NPI
Board of Expanded Services
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Carrollton, MO
Practice location
1410 N Main St
Carrollton, MO 64633-1933
Mailing address
PO Box 455
Carrollton, MO 64633-0455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 852991900 (MO) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 852991900 (MO) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Other intellectual and/or developmental disabilities residential treatment facility providers in Carrollton
About NPI 1679602049
Board of Expanded Services's National Provider Identifier is 1679602049, issued on Mar 3, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Carrollton, MO. The record was last updated on Oct 6, 2015.