Heartland Alternative Service Program
Counselor, Addiction (Substance Use Disorder) in Poplar Bluff, MO. Organization (NPI-2).
NPI number1841320587
StatusActive
Last updated in NPPESApr 6, 2011
Details
- NPI
- 1841320587
- Entity type
- Organization (NPI-2)
- Legal business name
- Heartland Alternative Service Program
- Organization subpart
- No
- Enumeration date
- Mar 6, 2007
- Last updated
- Apr 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 188 | MO | Yes |
Practice location
331 N Main StPoplar Bluff, MO 63901-5154
Phone 573-686-5488 · Fax 573-686-5488
Mailing address
331 N Main StPoplar Bluff, MO 63901-5154
Phone 573-686-5488 · Fax 573-686-5488
Authorized official
Barbara A. Head
Executive Director
5736865488
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