Organization
LAKEWOOD RESIDENTIAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA RICHTER PSY.D.LPC (OWNER)
(417) 459-5622
Entity
Organization
Contact information
Practice address
1565 E BRIAR ST, SPRINGFIELD, MO 65804-7102
(417) 882-3889
(417) 882-3813
Mailing address
1565 E BRIAR ST, SPRINGFIELD, MO 65804-7102
(417) 882-3889
(417) 882-3813
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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