NPI 1053430843

Boone County Family Resources

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Columbia, MO

Practice location

Address: 1209 E Walnut St, Columbia, MO 65201-4944
Phone: (573) 874-1995

Authorised official

Name: Les Wagner
Title: Executive Director
Phone: (573) 874-1995

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Missouri →

Registry record

NPI: 1053430843
Entity type: Organization
NPI issued: 29 Mar 2007
Record last updated: 22 Aug 2020

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.