NPI 1396257408

Forming Friendships LLC

Organisation Community/Behavioral Health Agency Hillsboro, MO

Practice location

Address: 171 Roberts Dr, Hillsboro, MO 63050-4120
Phone: (314) 297-0793
Fax: (314) 202-5441

Authorised official

Name: Katherine a Petefish
Title: Owner/Behavior Analyst
Phone: (314) 297-0793

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 2015044940 (MO)

Other Community/Behavioral Health providers in Missouri →

Registry record

NPI: 1396257408
Entity type: Organization
NPI issued: 30 Oct 2017
Record last updated: 13 Mar 2019

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.