New Trails, LLC - 4th Street

NPI #1740470020 in Stanberry, Missouri

Provider Information

NPI Number
1740470020
Entity Type
Organization
Organization Name
New Trails, LLC - 4th Street
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 1, 2007
Last Updated
Aug 2, 2007

Practice Location

Address
201 E 4TH ST
ZIP Code
64489-1211
Phone
(660) 783-2392

Authorized Official

Name
CHRISTINE ANN MANION
Title
OWNER/DIRECTOR
Phone
(660) 783-2392

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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