Creative Pathways Residential Supports
NPI #1962875815 in Brookfield, Missouri
Provider Information
- NPI Number
- 1962875815
- Entity Type
- Organization
- Organization Name
- Creative Pathways Residential Supports
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 1, 2015
- Last Updated
- Dec 22, 2016
Practice Location
- Address
- 331 E CLAYTON ST
- City
- Brookfield
- State
- Missouri
- ZIP Code
- 64628-2215
- Phone
- (660) 734-0722
Authorized Official
- Name
- JOSHUA WAYNE BILLINGSLEY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (660) 734-0722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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