Organization
BOYS & GIRLS TOWN OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCE HILLYER (PRESIDENT)
(573) 265-3251
Entity
Organization
Contact information
Practice address
4304 S BEARFIELD RD, COLUMBIA, MO 65201-9557
(573) 874-8686
Mailing address
PO BOX 189, SAINT JAMES, MO 65559-0189
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2000163689
MO
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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