Organization
NEW TRAILS, LLC COLLEGE ST.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE A. MANION (DIRECTOR)
(660) 783-2392
Entity
Organization
Contact information
Practice address
4578 US HIGHWAY 136, STANBERRY, MO 64489-8124
(660) 783-2392
Mailing address
904 N COLLEGE ST, ALBANY, MO 64402-2023
(660) 726-5529
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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