Brookwood Group Home
NPI #1164547949 in Cross Timbers, Missouri
Provider Information
- NPI Number
- 1164547949
- Entity Type
- Organization
- Organization Name
- Brookwood Group Home
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- RR 1 BOX 1560
- City
- Cross Timbers
- State
- Missouri
- ZIP Code
- 65634-9721
- Phone
- (417) 998-6502
Authorized Official
- Name
- MR. GARY D BOGGS
- Title
- PRESIDENT
- Phone
- (417) 722-4416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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