Organization
WEATHERBY & ASSOCIATES, LLC
Active
Other names
Weatherby Asset Management Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN RAY WEATHERBY (CHIEF EXECUTIVE OFFICER)
(573) 784-0819
Entity
Organization
Contact information
Practice address
1323 N WASHINGTON ST, MEXICO, MO 65265-3352
(573) 470-6826
Mailing address
1323 N WASHINGTON ST, MEXICO, MO 65265-3352
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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