# MISSOURI BAPTIST CHILDRENS HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205371705
- **Authorized official:** HEATHER HELLER (INTAKE/RECORDS)
- **Authorized official phone:** (314) 739-6811

## Contact information

- **Practice address:** 603 N MAIN ST, MOUNT VERNON, MO 65712-1074
- **Practice address phone:** (417) 466-7844
- **Mailing address:** 603 N MAIN ST, MOUNT VERNON, MO 65712-1074
- **Mailing address phone:** (417) 466-7844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 2016034444 | MO | Yes |

## Other

- **Enumeration date:** 12/20/2016
- **Last updated:** 12/20/2016
