Organization
MAPLEWOOD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SHAY OCHOA (PRESIDENT)
(573) 462-0128
Entity
Organization
Contact information
Practice address
1827 CRADER DR, JEFFERSON CITY, MO 65109
(573) 635-0023
(573) 635-0023
Mailing address
1827 CRADER DR, JEFFERSON CITY, MO 65109
(573) 462-0128
(573) 635-0023
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
01/05/2023
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