Northwoods Psychiatric Services Inc

NPI 1417902305 - Counselor - 101YP2500X

NPI Details
NPI 1417902305
Enumeration Date 05/23/2006
Last Updated 09/17/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHELLE MICHELLE
Position OFFICE MANAGER
Phone (417) 326-7272
Fax (417) 326-2193
Practice Location
714 N POMME DE TERRE AVE
BOLIVAR MO, 65613-1241, US
Phone (417) 326-7272
Fax (417) 326-2193
Business Location
PO BOX 49
BOLIVAR MO, 65613-0049, US
Phone (417) 326-7272
Fax (417) 326-2193
Toxanomy
Taxonomy Code 101YP2500X
License State Missouri
License Number 2004008720
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According to our database, Northwoods Psychiatric Services Inc NPI is 1417902305, taxonomy code is 101YP2500X and license number is 2004008720, license state is located at Missouri. Northwoods Psychiatric Services Inc physically located at 714 N Pomme De Terre Ave, Bolivar MO, 65613-1241. NPI Number 1033115704 has the healthcare provider type.

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1417902305 NPI number is provided on an as is basis without warranty of any kind. 1417902305 is maintained by the National Plan & Provider Enumeration System. The contents of Northwoods Psychiatric Services Inc are for informational purposes only.