Boone County Family Resources

NPI #1053430843 in Columbia, Missouri

Provider Information

NPI Number: 1053430843
Entity Type: Organization
Organization Name: Boone County Family Resources
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1209 E WALNUT ST
City: Columbia
State: Missouri
ZIP Code: 65201-4944
Phone: (573) 874-1995

Authorized Official

Name: LES WAGNER
Title: EXECUTIVE DIRECTOR
Phone: (573) 874-1995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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