Organization
MISSOURI GIRLS TOWN FOUNDATION, INC
Active
Parent organization
MISSOURI GIRLS TOWN FOUNDATION INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI GIRLS TOWN FOUNDATION INC
Authorized official
MIRIAM BURCH (BILLING CLERK)
(573) 642-5345
Entity
Organization
Contact information
Practice address
8548 JADE ROAD, KINGDOM CITY, MO 65262-0059
(573) 642-5345
(573) 642-5162
Mailing address
P.O. BOX 86, KINGDOM CITY, MO 65262
(573) 642-5345
(573) 642-5162
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/16/2022
Last updated
12/23/2022
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