in Clinton - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
- NPI 1962552208
is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Clinton, Missouri. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for is 1962552208. The last update date is .
's current location address is 1835 S 2nd St, Clinton, Missouri. You can contact this provider via phone number 6608858330 and fax number 6608857736. The mailing address for is 1835 S 2nd St, Clinton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1835 S 2nd St, Clinton, Missouri |
| Phone Number | 6608858330 |
| Fax Number | 6608857736 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1962552208 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1835 S 2nd St |
|---|---|
| City | Clinton |
| State | Missouri (MO) |
| Post Code | 647354403 |
| Phone Number | 6608858330 |
| Fax Number | 6608857736 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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