Organization
BOYS AND GIRLS TOWN OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BRYAN MATTHEWS M.S., C.R.C, L.P.C. (BELL COTTAGE CLINICAL DIRECTOR)
(573) 265-3251
Entity
Organization
Contact information
Practice address
13160 COUNTY ROAD 3610, BOYS & GIRLS TOWN OF MISSOURI, ST. JAMES, MO 65559
(573) 265-3251
Mailing address
17051 HIGHWAY 8, SAINT JAMES, MO 65559-8222
(573) 265-1959
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
322D00000X
MO
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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