Boys & Girls Town of Missouri
NPI #1295801678 in Springfield, Missouri
Provider Information
- NPI Number
- 1295801678
- Entity Type
- Organization
- Organization Name
- Boys & Girls Town of Missouri
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1212 W LOMBARD ST
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65806-2720
- Phone
- (417) 865-1646
Authorized Official
- Name
- MS. MARLA H. UNDERWOOD, MS, LPC, NCC
- Title
- THERAPIST
- Phone
- (417) 865-1646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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