DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF MISSOURI

Active Organization

ICF/Individuals with Intellectual Disabilities · OVERLAND, MO

Registration Details

NPI Number
1164630463
Provider Type
Organization
NPI Issued
May 18, 2007 (18.928676734333 yrs)
Last Updated
Oct 27, 2020

Practice Information

Address
11 BRADY CIR
OVERLAND, MO, 631141110
Browse MO providers · Browse ZIP 63114
Phone
3144288470
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.