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CHILDREN'S THERAPY CENTER OF PETTIS COUNTY INC NPI 1124142955


NPI Information

NPI: 1124142955
Provider Name: CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC

Other Name: CENTER FOR HUMAN SERVICES

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1111 WATERTOWER RD
SEDALIA, MO
ZIP 65301
Phone: (660) 826-4400
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CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC is a residential treatment facility, intellectual and/or developmental disabilities in Sedalia, MO. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC NPI is 1124142955. The provider is registered as an organization entity type.
The provider Other Name Is Center For Human Services.

The provider's business location address is:

1111 WATERTOWER RD
SEDALIA, MO
ZIP 65301-801
Phone: (660) 826-4400
Fax: (866) 495-6424

The provider's authorized official is Ann Graff .
The authorized official title is Executive Director/ceo and has the following contact phone number (660) 826-4400.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 2/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1851306456MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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