Organization
WYATT'S DREAM CENTER
Active
Other names
WYATT'S DREAM CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA STEWART (OWNER)
(573) 380-8035
Entity
Organization
Contact information
Practice address
205 STATE HIGHWAY AA, SIKESTON, MO 63801-5303
(573) 475-8025
(573) 475-8026
Mailing address
106 DACUS DR, SIKESTON, MO 63801-9013
(573) 380-8035
(573) 475-8026
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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