Organization
DOULOS MINISTRIES, INC.
Active
Other names
Shelterwood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA WOOD PSY.D (CLINICAL DIRECTOR)
(816) 249-5350
Entity
Organization
Contact information
Practice address
3205 N TWYMAN RD, INDEPENDENCE, MO 64058-3211
(816) 249-5350
Mailing address
3205 N TWYMAN RD, INDEPENDENCE, MO 64058-3211
(816) 249-5350
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
002135344
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002135344
STATE LICENSE
MO
Enumeration date
12/10/2009
Last updated
05/15/2019
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