NPI 1295801678
Boys & Girls Town of Missouri
Practice location
- Address
- 1212 W Lombard St, Springfield, MO 65806-2720
- Phone
- (417) 865-1646
- Mailing address
- 426 N Alexander Ave, Republic, MO 65738-1235
Authorised official
- Name
- Marla H. Underwood
- Title
- Therapist
- Phone
- (417) 865-1646
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1295801678
- Entity type
- Organization
- NPI issued
- 28 Nov 2006
- 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.