Healthcare Provider Details

I. General information

NPI: 1437423100
Provider Name (Legal Business Name): HRW, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2012
Last Update Date: 02/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N MAIN ST
EDINA MO
63537-1353
US

IV. Provider business mailing address

300 N MAIN ST
EDINA MO
63537-1353
US

V. Phone/Fax

Practice location:
  • Phone: 660-397-2293
  • Fax:
Mailing address:
  • Phone: 660-397-2293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number039816
License Number StateMO

VIII. Authorized Official

Name: MR. JOSHUA JERMAINE WILLIAMS
Title or Position: PRESIDENT
Credential:
Phone: 573-795-5012