NPI 1720157803

Boys & Girls Town of Missouri

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Springfield, MO

Practice location

Address: 1212 W Lombard St, Springfield, MO 65806-2720
Phone: (417) 865-1646
Fax: (417) 866-1483
Mailing address: 4696 N Farm Road 129, Springfield, MO 65803-6229

Authorised official

Name: Anne Tucker
Title: Resident Director
Phone: (417) 865-1646

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 2001021788 (MO)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Missouri →

Registry record

NPI: 1720157803
Entity type: Organization
NPI issued: 6 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.