Provider Demographics
NPI:1982724118
Name:BUTTERFIELD YOUTH SERVICES, INC
Entity type:Organization
Organization Name:BUTTERFIELD YOUTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ECECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:CARTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-886-2253
Mailing Address - Street 1:1180 HIGHWAY WW
Mailing Address - Street 2:PO BOX 333
Mailing Address - City:MARSHALL
Mailing Address - State:MO
Mailing Address - Zip Code:65340-9589
Mailing Address - Country:US
Mailing Address - Phone:660-886-2253
Mailing Address - Fax:660-886-6601
Practice Address - Street 1:1180 HIGHWAY WW
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MO
Practice Address - Zip Code:65340-9589
Practice Address - Country:US
Practice Address - Phone:660-886-2253
Practice Address - Fax:660-886-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children