Organization · Type 2 NPI

Dillahunt Isl

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

NPI number 1972637346 Active

Practice location

4300 Royal Aberdeen St
Columbia, MO 65203-4810

Call (573) 445-4408 Map

Fax (573) 445-4396

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X8001281 (MO)

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 1972637346

Dillahunt Isl's National Provider Identifier is 1972637346, issued on Mar 15, 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 Nov 22, 2010.