OrganizationActive
Community Opportunities
NPI 1912060997 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Troy, MO
Provider details
- NPI number
- 1912060997
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Joan Story, Business Manager(636) 462-7695
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
44 Opportunity Court
Troy, MO 63379
Phone: (636) 462-7695
Fax: (636) 462-7695
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 420
Troy, MO 63379-0420
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.