institution
Boys And Girls Town Missouri
Emotionally Disturbed Childrens' Residential Treatment Facility in Springfield, Missouri
NPI 1013086842

Boys And Girls Town Missouri is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Nixa, MO. Boys And Girls Town Missouri practices in Springfield, MO. The NPI Number for Boys And Girls Town Missouri is 1013086842 and holds a License No. 2002002751 (Missouri).

The current practice location address for Boys And Girls Town Missouri is 1212 W Lombard St, Springfield, MO and can be reached out via phone at 417-865-1646 and via fax at 417-866-1483. You can also correspond with Boys And Girls Town Missouri through the mailing address at 412 CARDINAL CT, NIXA, MO - 65714-8848 (mailing address contact number: 417-725-8684).

Location: 1212 W Lombard St, Springfield, MO, 65714-8848
institution
Provider Profile Details
NPI Number
1013086842
Provider Name
Boys And Girls Town Missouri
Credential
Provider Entity Type
Organization
Address
1212 W Lombard St, Springfield, MO, 65714-8848
Phone Number
417-865-1646
Fax Number
417-866-1483
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
494901309 05 MO
institution
Provider Business Practice Location Address Details
Address
1212 W Lombard St
City
State
Zip
65806-2720
Phone Number
417-865-1646
Fax Number
417-866-1483
person
Provider Business Mailing Address Details
Address
412 Cardinal Ct
City
State
Zip
65714-8848
Phone Number
417-725-8684
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
2002002751 (Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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