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Organization
BOYS AND GIRLS TOWN OF MISSOURI
Active
Organization
BOYS AND GIRLS TOWN OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BRYAN MATTHEWS M.S., C.R.C, L.P.C. (BELL COTTAGE CLINICAL DIRECTOR)
(573) 265-3251
Entity
Organization
Contact information
Practice address
13160 COUNTY ROAD 3610, BOYS & GIRLS TOWN OF MISSOURI, ST. JAMES, MO 65559
(573) 265-3251
Mailing address
17051 HIGHWAY 8, SAINT JAMES, MO 65559-8222
(573) 265-1959
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
322D00000X
MO
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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