Organization · Type 2 NPI

Boys & Girls Town of Missouri

Emotionally Disturbed Childrens' Residential Treatment Facility · Springfield, MO

NPI number 1720157803 Active

Practice location

1212 W Lombard St
Springfield, MO 65806-2720

Fax (417) 866-1483

Mailing address

4696 N Farm Road 129
Springfield, MO 65803-6229

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X2001021788 (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.

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About NPI 1720157803

Boys & Girls Town of Missouri's National Provider Identifier is 1720157803, issued on Nov 6, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Springfield, MO. The record was last updated on Aug 22, 2020.