| Brookside Casa | |
|
17858 Brookside Rd Barnett MO 65011-3023 | |
| (573) 378-2266 | |
| (573) 378-2267 |
| Full Name | Brookside Casa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17858 Brookside Rd, Barnett, Missouri |
| Authorized Official Name and Position | Densie L Spotila (ADMINISTRATOR) |
| Authorized Official Contact | 5733782266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Casa 17858 Brookside Rd Barnett MO 65011-3023 Ph: (573) 378-2266 | Brookside Casa 17858 Brookside Rd Barnett MO 65011-3023 Ph: (573) 378-2266 |
| NPI Number | 1215056437 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215056437 | NPI | - | NPPES |
| 856254107 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| 320900000X | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities | () | Secondary |