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MICHAEL W. PRENGER FAMILY CENTER
NPI 1063659019
Residential Treatment Facility, Emotionally Disturbed Children in Jefferson City, MO

Active since January 13, 2009
400 STADIUM BLVD, JEFFERSON CITY, MO 65101(573) 636-5177(573) 634-5162 Get Directions Write a Review

NPPES record last updated: January 13, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael W. Prenger Family Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL W. PRENGER FAMILY CENTER (NPI 1063659019) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Jefferson City, Missouri and active in the NPI registry since January 2009. The organization lists Michael D Couty, Court Administrator, as its authorized official.

NPPES Registry Identity

NPI1063659019
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameMICHAEL W. PRENGER FAMILY CENTER
Location Address400 STADIUM BLVDJefferson City, MO 65101-2811
Mailing Address400 Stadium BlvdJefferson City, MO 65101-2811
Phone(573) 636-5177
Fax(573) 634-5162
Organization SubpartNo
Authorized OfficialMichael D CoutyCourt Administrator · (573) 636-5177
Enumeration DateJanuary 13, 2009
✔ NPI 1063659019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

400 STADIUM BLVD, Jefferson City, MO 65101
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael W. Prenger Family Center's NPI number?

The NPI number for Michael W. Prenger Family Center is 1063659019. It was assigned to this organization in the NPPES registry on January 13, 2009.

Where is Michael W. Prenger Family Center located?

Michael W. Prenger Family Center is located at 400 Stadium Blvd, Jefferson City, MO 65101. The listed phone number is (573) 636-5177.

What is Michael W. Prenger Family Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Michael W. Prenger Family Center was last updated on January 13, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.