NPI 1063659019

Michael W. Prenger Family Center

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Jefferson City, MO

Practice location

Address: 400 Stadium Blvd, Jefferson City, MO 65101-2811
Phone: (573) 636-5177
Fax: (573) 634-5162

Authorised official

Name: Michael D Couty
Title: Court Administrator
Phone: (573) 636-5177

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Missouri →

Registry record

NPI: 1063659019
Entity type: Organization
NPI issued: 13 Jan 2009
Record last updated: 13 Jan 2009

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.