Organization
MAKING A DIFFERENCE TREATMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG STEPHEN EDWARDS ED.S (ADMINISTRATOR)
(417) 422-4702
Entity
Organization
Contact information
Practice address
844 HWY 32, BOLIVAR, MO 65613-8213
(417) 422-4702
(417) 422-4730
Mailing address
844 HWY 32, BOLIVAR, MO 65613-8213
(417) 422-4702
(417) 422-4730
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/07/2024
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