Phillip Brown Valid NPI

Individual provider · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hazelwood, MO

NPI

1164045068

Type

Individual (Type 1)

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities)

Specialty group

Residential Treatment Facilities

Taxonomy code

320900000X

Sex

Male

Sole proprietor

Yes

Enumerated

2020-05-26

Last updated

2020-05-26