NPI 1083878839

Boys and Girls Town of Missouri

Organisation Mental Illness Community Based Residential Treatment Facility St. James, MO

Practice location

Address: 13160 County Rd 3610, St. James, MO 65559
Phone: (573) 265-3251

Authorised official

Name: Alfaye Jackson
Title: Therapist
Phone: (573) 265-3251

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 2008015070 (MO)

Other Community Based Residential Treatment Facility, Mental Illness providers in Missouri →

Registry record

NPI: 1083878839
Entity type: Organization
NPI issued: 10 Jul 2008
Record last updated: 10 Jul 2008

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.