Individual provider · Type 1 NPI
Jessica T. Smith, DMH DD PROVIDER
Child Intellectual and/or Developmental Disabilities Respite Care · Columbia, MO
Practice location
1100 Kennesaw Ridge Rd, Unit 807
Columbia, MO 65202-4864
Mailing address
303 Macaw Dr
Columbia, MO 65202-6284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Child Mental Illness Respite Care | 385HR2055X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Another provider at this address
About NPI 1912409780
Jessica T. Smith, DMH DD PROVIDER's National Provider Identifier is 1912409780, issued on Mar 7, 2018. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Columbia, MO. The record was last updated on Mar 7, 2018.