Organization
CREATIVE PATHWAYS RESIDENTIAL SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA WAYNE BILLINGSLEY (EXECUTIVE DIRECTOR)
(660) 734-0722
Entity
Organization
Contact information
Practice address
331 E CLAYTON ST, BROOKFIELD, MO 64628-2215
(660) 734-0722
Mailing address
331 E CLAYTON ST, BROOKFIELD, MO 64628-2215
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/01/2015
Last updated
12/22/2016
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