Whalio Doctors

NPI 1053439190

Home Court Advantage, INC.

Organisation Psychiatric Residential Treatment Facility Bolivar, MO

Practice location

Address
1211 E Broadway St, Bolivar, MO 65613-2952
Phone
(417) 777-6980
Fax
(417) 777-6981
Mailing address
1211 E Broadway St P. O. Box 771, Bolivar, MO 65613-2952

Authorised official

Name
Robert McCrimmon
Title
Ceo
Phone
(417) 777-6980

Registered specialties (3)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X

Registry record

NPI
1053439190
Entity type
Organization
NPI issued
27 Mar 2007
Record last updated
11 Sep 2025

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.