MR. Eric Vahle

NPI #1124561907 in Columbia, Missouri

Provider Information

NPI Number: 1124561907
Entity Type: Individual
Name: MR. Eric Vahle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 28, 2016
Last Updated: Nov 28, 2016

Practice Location

Address: 3611 WAKEFIELD DR
City: Columbia
State: Missouri
ZIP Code: 65203-4462
Phone: (573) 881-9624

Specialties & Taxonomy Codes

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

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