| NPI | 1073909511 |
|---|---|
| Former Legal Business Name | WEATHERBY ASSET MANAGEMENT GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN RAY WEATHERBY Chief Executive Officer 573-784-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |