# BOYS & GIRLS TOWN OF MISSOURI

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

## Provider details

- **NPI number:** 1902067184
- **Authorized official:** VINCE HILLYER (PRESIDENT)
- **Authorized official phone:** (573) 265-3251

## Contact information

- **Practice address:** 4304 S BEARFIELD RD, COLUMBIA, MO 65201-9557
- **Practice address phone:** (573) 874-8686
- **Mailing address:** PO BOX 189, SAINT JAMES, MO 65559-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 2000163689 | MO | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 06/20/2008