Organization · Type 2 NPI
New Trails, LLC - 4th Street
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Stanberry, MO
Practice location
201 E 4th St
Stanberry, MO 64489-1211
Mailing address
4578 US Highway 136
Stanberry, MO 64489-8124
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.
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About NPI 1740470020
New Trails, LLC - 4th Street's National Provider Identifier is 1740470020, issued on Aug 1, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Stanberry, MO. The record was last updated on Aug 2, 2007.