Boys and Girls Town Missouri
NPI #1013086842 in Springfield, Missouri
Provider Information
- NPI Number
- 1013086842
- Entity Type
- Organization
- Organization Name
- Boys and Girls Town Missouri
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Oct 23, 2009
Practice Location
- Address
- 1212 W LOMBARD ST
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65806-2720
- Phone
- (417) 865-1646
Authorized Official
- Name
- MR. GREG SHANK, MSW,
- Title
- THERAPIST
- Phone
- (417) 865-1646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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