Breaking The Mental Chains, Llc

NPI 1003123597 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1003123597
Enumeration Date 09/07/2010
Last Updated 09/07/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ED ED
Position EXECUTIVE DIRECTOR
Phone (417) 894-2731
Fax (417) 890-7757
Practice Location
1522 E CAMINO ALTO ST
SPRINGFIELD MO, 65804-7303, US
Phone (417) 894-2731
Fax (417) 890-7757
Business Location
PO BOX 14462
SPRINGFIELD MO, 65814-0462, US
Phone (417) 894-2731
Fax (417) 890-7757
Toxanomy
Taxonomy Code 251S00000X
License State Missouri
License Number LC1083359
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According to our database, Breaking The Mental Chains, Llc NPI is 1003123597, taxonomy code is 251S00000X and license number is LC1083359, license state is located at Missouri. Breaking The Mental Chains, Llc physically located at 1522 E Camino Alto St, Springfield MO, 65804-7303. NPI Number 1033115704 has the healthcare provider type.

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1003123597 NPI number is provided on an as is basis without warranty of any kind. 1003123597 is maintained by the National Plan & Provider Enumeration System. The contents of Breaking The Mental Chains, Llc are for informational purposes only.