OrganizationActive
Colonial House of Crystal City, LLC
NPI 1962644401 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Crystal City, MO
Provider details
- NPI number
- 1962644401
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Alysha Sauer, Member
Practice location
26 Mississippi Ave
Crystal City, MO 63019-1817
Phone: (636) 937-1000
Fax: (636) 937-1003
Mailing address
115 West Ave
Festus, MO 63028-1733
Registry dates
- Enumerated
- 2009-03-30
- Last updated
- 2009-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.