Boys & Girls Town of Missouri

NPI #1720157803 in Springfield, Missouri

Provider Information

NPI Number
1720157803
Entity Type
Organization
Organization Name
Boys & Girls Town of Missouri
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Nov 6, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1212 W LOMBARD ST
ZIP Code
65806-2720
Phone
(417) 865-1646

Authorized Official

Name
ANNE TUCKER
Title
RESIDENT DIRECTOR
Phone
(417) 865-1646

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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