Breaking The Mental Chains, LLC
Community/Behavioral Health in Springfield, MO. Organization (NPI-2).
NPI number1003123597
StatusActive
Last updated in NPPESSep 7, 2010
Details
- NPI
- 1003123597
- Entity type
- Organization (NPI-2)
- Legal business name
- Breaking The Mental Chains, LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2010
- Last updated
- Sep 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | LC1083359 | MO | Yes |
Practice location
1522 E Camino Alto StSpringfield, MO 65804-7303
Phone 417-894-2731 · Fax 417-890-7757
Mailing address
Po Box 14462Springfield, MO 65814-0462
Phone 417-894-2731 · Fax 417-890-7757
Authorized official
Ed Melton
Executive Director
4178942731
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