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

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Active Organization

Intellectual Disabilities Residential Treatment Facility · KIRKSVILLE, MO

Registration Details

NPI Number
1790814176
Provider Type
Organization
NPI Issued
Mar 3, 2007 (19.13630389995 yrs)
Last Updated
Jun 14, 2008
License
5622-8623 (MO)

Practice Information

Address
1503 E NORTHTOWN RD
KIRKSVILLE, MO, 635012080
Browse MO providers · Browse ZIP 63501
Phone
6606659336
Fax
6606659336

Other Intellectual Disabilities Residential Treatment Facility Organizations in KIRKSVILLE, MO

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.