Boys & Girls Town of Missouri
Organization Active NPI Psychiatric Residential Treatment Facility · Springfield, MO
NPI 1295801678 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295801678
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- License
- 002691 (MO)
- Legal business name
- BOYS & GIRLS TOWN OF MISSOURI
- Practice address
- 1212 W Lombard St
Springfield, MO 65806-2720 - Phone
- (417) 865-1646
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Marla H. Underwood, MS, LPC, NCC
- Title
- Therapist
- Phone
- (417) 865-1646
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Great Circle
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | 002691 | MO | Yes |
Addresses
Primary practice location
1212 W Lombard St
Springfield, MO 65806-2720
Mailing address
426 N Alexander Ave
Republic, MO 65738-1235
Phone (417) 732-2416
Other providers in Springfield, MO
- Egbert Boyd
- Lisa Boyd
- Roberta Lynne Boyd
- Erin Lee Boydstun
- Myria Marlene Boyer
- Boys & Girls Town of Missouri
- Boys and Girls Town Missouri
- Boys and Girls Town of Missouri
- Boys&Girlstownofmo
- Lyndsi Boysen
All providers in Springfield, MO · Psychiatric Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.