Willowtree Isl

NPI #1083890958 in Columbia, Missouri

Provider Information

NPI Number: 1083890958
Entity Type: Organization
Organization Name: Willowtree Isl
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 10, 2008
Last Updated: Jan 10, 2008

Practice Location

Address: 5015 S COWAN LOOP
City: Columbia
State: Missouri
ZIP Code: 65201-9781
Phone: (573) 875-7819

Authorized Official

Name: MRS. LORRIE R. NEY
Title: OWNER
Phone: (573) 875-7819

Specialties & Taxonomy Codes

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

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