Organization
WOODRIDGE OF MISSOURI, INC.
Active
Other names
Perimeter Behavioral of Missouri, Piney Ridge Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE GERBER (AVP OF ADMINISTRATIVE SERVICES)
(470) 554-7903
Entity
Organization
Contact information
Practice address
1000 HOSPITAL ROAD, WAYNESVILLE, MO 65583-4067
(573) 774-5353
(573) 774-2907
Mailing address
2520 NORTHWINDS PKWY STE 550, ALPHARETTA, GA 30009-2236
(470) 554-7903
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
000380592
MO
323P00000X
Psychiatric Residential Treatment Facility
000380592
MO
324500000X
Substance Abuse Rehabilitation Facility
000380592
MO
324500000X
Substance Abuse Rehabilitation Facility
3088-11051
MO
324500000X
Substance Abuse Rehabilitation Facility
30888669
MO
Other
Enumeration date
02/06/2007
Last updated
11/23/2021
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