NPI 1164646162

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

Authorised official

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

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 62028650 (MO)

Other Psychiatric Residential Treatment Facility providers in Missouri →

Registry record

NPI: 1164646162
Entity type: Organization
NPI issued: 12 Apr 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.