# BOYS AND GIRLS TOWN OF MISSOURI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1306999511
- **Authorized official:** MR. WILLIAM BRYAN MATTHEWS M.S., C.R.C, L.P.C. (BELL COTTAGE CLINICAL DIRECTOR)
- **Authorized official phone:** (573) 265-3251

## Contact information

- **Practice address:** 13160 COUNTY ROAD 3610, BOYS & GIRLS TOWN OF MISSOURI, ST. JAMES, MO 65559
- **Practice address phone:** (573) 265-3251
- **Mailing address:** 17051 HIGHWAY 8, SAINT JAMES, MO 65559-8222
- **Mailing address phone:** (573) 265-1959

## Taxonomy

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

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 08/22/2020