Organization
PIKE COUNTY AGENCY FOR DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BYRON GRIFFITH (EXECUTIVE DIRECTOR)
(573) 324-3553
Entity
Organization
Contact information
Practice address
900 INDEPENDENCE DR, BOWLING GREEN, MO 63334-2440
(573) 324-3553
(573) 324-6391
Mailing address
900 INDEPENDENCE DR, BOWLING GREEN, MO 63334-2440
(573) 324-3553
(573) 324-6391
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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