NPI 1083890958

Willowtree Isl

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

Practice location

Address: 5015 S Cowan Loop, Columbia, MO 65201-9781
Phone: (573) 875-7819

Authorised official

Name: Lorrie R. Ney
Title: Owner
Phone: (573) 875-7819

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: 1083890958
Entity type: Organization
NPI issued: 10 Jan 2008
Record last updated: 10 Jan 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.