Boys And Girls Town Of Missouri

LBN: Boys And Girls Town Of Missouri
Boys And Girls Town Of Missouri is an health care organization with primary practice located at 13160 County Rd 3610 , St. James MO 65559. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Boys And Girls Town Of Missouri can be contacted via phone (573) 265-3251, or through Jackson, Alfaye via phone (573) 265-3251.

Contact Information

Primary practice address
13160 County Rd 3610 St. James MO 65559
Phone: (573) 265-3251
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Alfaye PLPC
Phone: (573) 265-3251

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 2008015070 Missouri

Profile Details

NPI number 1083878839
LBN Legal business name Boys And Girls Town Of Missouri
DBA Doing business as
Authorized official Jackson, Alfaye PLPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2008
Last updated Jul 10th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083878839 NPPES
Missouri MEDICAID 2008015070

Popular Providers