NPI 1205371705

Missouri Baptist Childrens Home

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Mount Vernon, MO

Practice location

Address: 603 N Main St, Mount Vernon, MO 65712-1074
Phone: (417) 466-7844

Authorised official

Name: Heather Heller
Title: Intake/Records
Phone: (314) 739-6811

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 2016034444 (MO)

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Registry record

NPI: 1205371705
Entity type: Organization
NPI issued: 20 Dec 2016
Record last updated: 20 Dec 2016

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.