Wyatt's Dream Center, LLC

NPI #1427693092 in Sikeston, Missouri

Provider Information

NPI Number: 1427693092
Entity Type: Organization
Organization Name: Wyatt's Dream Center, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 7, 2019
Last Updated: Nov 7, 2019

Practice Location

Address: 205 STATE HIGHWAY AA
City: Sikeston
State: Missouri
ZIP Code: 63801-5303
Phone: (573) 475-8025

Authorized Official

Name: MELISSA A STEWART
Title: OWNER/ADMINISTRATOR
Phone: (573) 380-8035

Specialties & Taxonomy Codes

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

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