MATT FERGUSON

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Individual
NPI: 1902426596

Practice Address

925 E 12TH ST
Joplin, MO 64801

Phone: (417) 680-4651

Frequently Asked Questions

NPI 1902426596 is the National Provider Identifier for MATT FERGUSON, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Joplin, MO. This NPI was enumerated on April 23, 2020.
MATT FERGUSON practices at 925 E 12TH ST, Joplin, MO 64801.

Quick Facts

NPI
1902426596
Type
Individual
Enumerated
Apr 23, 2020
Last Updated
Dec 22, 2025

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