Northwest Missouri Supportive Services

NPI #1093844722 in Stanberry, Missouri

Provider Information

NPI Number: 1093844722
Entity Type: Organization
Organization Name: Northwest Missouri Supportive Services
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 308 SOUTH PROSPECT
City: Stanberry
State: Missouri
ZIP Code: 64489-0222
Phone: (660) 783-2464

Authorized Official

Name: MARTIN DALE WEATHERD
Title: EXECUTIVE MANAGER
Phone: (816) 827-1254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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