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Maple Crest Residential Care Facility
Mental Illness Community Based Residential Treatment Facility in Poplar Bluff, Missouri
NPI 1619147428

Maple Crest Residential Care Facility is a Mental Illness Community Based Residential Treatment Facility based in Poplar Bluff, MO. Maple Crest Residential Care Facility practices in Poplar Bluff, MO. The NPI Number for Maple Crest Residential Care Facility is 1619147428 and holds a License No. (Missouri).

The current practice location address for Maple Crest Residential Care Facility is 307 N Broadway St, Poplar Bluff, MO and can be reached out via phone at 573-686-4490 and via fax at 573-686-8817.

Location: 307 N Broadway St, Poplar Bluff, MO, 63901-5103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619147428
Provider Name
Maple Crest Residential Care Facility
Credential
Provider Entity Type
Organization
Address
307 N Broadway St, Poplar Bluff, MO, 63901-5103
Phone Number
573-686-4490
Fax Number
573-686-8817
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
307 N Broadway St
City
Poplar Bluff
State
Missouri
Zip
63901-5103
Phone Number
573-686-4490
Fax Number
573-686-8817
person
Provider Business Mailing Address Details
Address
307 N Broadway St
City
Poplar Bluff
State
Missouri
Zip
63901-5103
Phone Number
573-686-4490
Fax Number
573-686-8817
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(Missouri)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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