Youthtrans L.l.c

NPI 1306124375 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1306124375
Enumeration Date 07/25/2011
Last Updated 07/25/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SARAH J SARAH
Position MEMBER
Phone (660) 346-1415
Fax
Practice Location
215 N GRAND ST
CLARENCE MO, 63437-1609, US
Phone (660) 346-1415
Fax
Business Location
PO BOX 67
CLARENCE MO, 63437-0067, US
Phone (660) 346-1415
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Youthtrans L.l.c NPI is 1306124375, taxonomy code is 251S00000X Youthtrans L.l.c physically located at 215 N Grand St, Clarence MO, 63437-1609. NPI Number 1033115704 has the healthcare provider type.

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1306124375 NPI number is provided on an as is basis without warranty of any kind. 1306124375 is maintained by the National Plan & Provider Enumeration System. The contents of Youthtrans L.l.c are for informational purposes only.