Whalio Doctors

NPI 1285713289

Great Circle

Organisation Psychiatric Residential Treatment Facility Saint James, MO

Practice location

Address
13160 County Road 3610, Saint James, MO 65559-0189
Phone
(573) 265-3251
Fax
(573) 265-8571
Mailing address
PO Box 189, Saint James, MO 65559-0189

Authorised official

Name
Dawn Renee Kliethermes
Title
Credentialing Specialist
Phone
(573) 303-7219

Registered specialties (11)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence 000046739 (MO)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 430681470A (MO)
Foster Care Agency
Agencies Taxonomy 253J00000X Licence 000046739 (MO)
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 0A (MO)
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X Licence 000045712 (MO)
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X Licence 000045767 (MO)
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X Licence 0000469461 (MO)
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X Licence 000363075 (MO)
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X Licence 001943115 (MO)

Registry record

NPI
1285713289
Entity type
Organization
NPI issued
2 Nov 2006
Record last updated
21 Jul 2022

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.