Renovo Boys Academy

NPI #1689839763 in Silex, Missouri

Provider Information

NPI Number: 1689839763
Entity Type: Organization
Organization Name: Renovo Boys Academy
Subpart: Yes (part of a larger organization)
Parent Organization: PROFICIO MANAGEMENT
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jul 28, 2008
Last Updated: Jul 28, 2008

Practice Location

Address: 308 BUCK CREEK RD
City: Silex
State: Missouri
ZIP Code: 63377-2116
Phone: (573) 384-5755

Authorized Official

Name: BRIAN L ALLRED, LPC
Title: CEO
Phone: (573) 384-5755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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