Weatherby & Associates, LLC
Community Based Residential Treatment Facility, Mental Illness in Mexico, MO. Organization (NPI-2).
NPI number1073909511
StatusActive
Last updated in NPPESApr 10, 2015
Details
- NPI
- 1073909511
- Entity type
- Organization (NPI-2)
- Legal business name
- Weatherby & Associates, LLC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2015
- Last updated
- Apr 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | – | – |
Other names
- Weatherby Asset Management Group, LLC (Former Legal Business Name)
Practice location
1323 N Washington StMexico, MO 65265-3352
Phone 573-470-6826
Mailing address
1323 N Washington StMexico, MO 65265-3352
Authorized official
Justin Ray Weatherby
Chief Executive Officer
5737840819
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