Kybama, INC
NPI #1437675477 in Bonne Terre, Missouri
Provider Information
- NPI Number
- 1437675477
- Entity Type
- Organization
- Organization Name
- Kybama, INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Aug 22, 2017
- Last Updated
- Aug 22, 2017
Practice Location
- Address
- 12729 STONEY POINT RD
- City
- Bonne Terre
- State
- Missouri
- ZIP Code
- 63628
- Phone
- (573) 358-8703
Authorized Official
- Name
- GARY SELBERT, LPC
- Title
- PROGRAM DIRECTOR
- Phone
- (314) 960-8639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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