Organization
WILLOWTREE ISL
Active
Other names
Lorrie R. Ney
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRIE R. NEY (OWNER)
(573) 875-7819
Entity
Organization
Contact information
Practice address
5015 S COWAN LOOP, COLUMBIA, MO 65201-9781
(573) 875-7819
Mailing address
5015 S COWAN LOOP, COLUMBIA, MO 65201-9781
(573) 875-7819
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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