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Organization
LBENHOLDINGS
Active
Organization
LBENHOLDINGS
Active
Other names
Secret Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MAKLER (OWNER)
(573) 330-3219
Entity
Organization
Contact information
Practice address
351 KEITH ST, PARK HILLS, MO 63601-2049
(573) 518-0444
Mailing address
PO BOX 481, PARK HILLS, MO 63601-0481
(573) 330-3219
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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