Bci Boone Center LLC
NPI #1093082117 in Saint Peters, Missouri
Provider Information
- NPI Number
- 1093082117
- Entity Type
- Organization
- Organization Name
- Bci Boone Center LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOONE CENTER INC.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 17, 2011
- Last Updated
- Nov 17, 2011
Practice Location
- Address
- 200 TRADE CENTER DR W
- City
- Saint Peters
- State
- Missouri
- ZIP Code
- 63376-1190
- Phone
- (636) 978-4300
Authorized Official
- Name
- MR. CHUCK BLOSSOM
- Title
- CEO
- Phone
- (636) 978-4300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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