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Michael W. Prenger Family Center
Emotionally Disturbed Childrens' Residential Treatment Facility in Jefferson City, Missouri
NPI 1063659019

Michael W. Prenger Family Center is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Jefferson City, MO. Michael W. Prenger Family Center practices in Jefferson City, MO. The NPI Number for Michael W. Prenger Family Center is 1063659019 and holds a License No. (Missouri).

The current practice location address for Michael W. Prenger Family Center is 400 Stadium Blvd, Jefferson City, MO and can be reached out via phone at 573-636-5177 and via fax at 573-634-5162.

Location: 400 Stadium Blvd, Jefferson City, MO, 65101-2811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063659019
Provider Name
Michael W. Prenger Family Center
Credential
Provider Entity Type
Organization
Address
400 Stadium Blvd, Jefferson City, MO, 65101-2811
Phone Number
573-636-5177
Fax Number
573-634-5162
Provider Enumeration Date
01/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 Stadium Blvd
City
Jefferson City
State
Missouri
Zip
65101-2811
Phone Number
573-636-5177
Fax Number
573-634-5162
person
Provider Business Mailing Address Details
Address
400 Stadium Blvd
City
Jefferson City
State
Missouri
Zip
65101-2811
Phone Number
573-636-5177
Fax Number
573-634-5162
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
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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