Organization
731 INVESTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MANSFIELD (OWNER)
(573) 718-0142
Entity
Organization
Contact information
Practice address
286 HIGHWAY VV, BROSELEY, MO 63932-9174
(573) 686-4877
Mailing address
286 HIGHWAY VV, BROSELEY, MO 63932-9174
(573) 686-4877
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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