Great Circle is a Psychiatric Residential Treatment Facility based in Saint James, MO. Great Circle practices in Saint James, MO. The NPI Number for Great Circle is 1285713289 and holds a License No. 430681470A (Missouri).
The current practice location address for Great Circle is 13160 County Road 3610, Saint James, MO and can be reached out via phone at 573-265-3251 and via fax at 573-265-8571.
Location: 13160 County Road 3610, Saint James, MO, 65559-0189
Provider Profile Details
NPI Number
1285713289
Provider Name
Great Circle
Credential
Provider Entity Type
Organization
Address
13160 County Road 3610, Saint James, MO, 65559-0189
Phone Number
573-265-3251
Fax Number
573-265-8571
Provider Enumeration Date
11/02/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507009603 | 05 | MO |
Provider Business Practice Location Address Details
Address
13160 County Road 3610
City
State
Zip
65559-0189
Phone Number
573-265-3251
Fax Number
573-265-8571
Provider Business Mailing Address Details
Address
13160 County Road 3610
City
State
Zip
65559-0189
Phone Number
573-265-3251
Fax Number
573-265-8571
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
000046739 (Missouri)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
License No.
0A (Missouri)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
000046739 (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.
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
License No.
430681470A (Missouri)
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
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