NPI 1003030727
Wyatt House INC
Practice location
- Address
- 707 Wyatt Ave, Golden City, MO 64748-8300
- Phone
- (417) 537-4200
Authorised official
- Name
- Paul D Throckmorton
- Title
- Ceo
- Phone
- (417) 537-4200
Registered specialties (2)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Registry record
- NPI
- 1003030727
- Entity type
- Organization
- NPI issued
- 12 Apr 2007
- Record last updated
- 20 Aug 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.