Organization
BCI BOONE CENTER LLC
Active
Parent organization
BOONE CENTER INC.
Other names
BCI
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOONE CENTER INC.
Authorized official
MR. CHUCK BLOSSOM (CEO)
(636) 978-4300
Entity
Organization
Contact information
Practice address
200 TRADE CENTER DR W, SAINT PETERS, MO 63376-1190
(636) 978-4300
(636) 978-4343
Mailing address
200 TRADE CENTER DR W, SAINT PETERS, MO 63376-1190
(636) 978-4300
(636) 978-4343
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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