Escape a&D, LLC
Organization Active NPI Public Health or Welfare Agency · Moberly, MO
NPI 1235304098 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1235304098
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- License
- 1253-10266 (MO)
- Legal business name
- ESCAPE A&D, LLC
- Practice address
- 501 N Ault St
Moberly, MO 65270-2506 - Phone
- (660) 263-7552
- Fax
- (660) 263-6593
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry Scott Eames, MS MAC CASAC CCCJS
- Title
- Ceo Primary Therapist
- Phone
- (660) 263-7552
Practitioners 1
-
Jerry Scott Eames, MAC CASAC ICAADC
National Provider Directory
Locations
501 N Ault St
Moberly, MO 65270
Phone (660) 263-7552
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 1253-10266 | MO | Yes |
Addresses
Primary practice location
501 N Ault St
Moberly, MO 65270-2506
Mailing address
501 N Ault St
Moberly, MO 65270-2506
Phone (660) 263-7552
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SATOP 066 | Other | MO | MO STATE CERTIFIED SUBSTANCE ABUSE TRAFFIC OFFENDER PROGRAMS |
| MAC 501662 | Other | NATIONAL ASSOCIATION OF ALCOHOL & DRUG ABUSE COUNSELORS | |
| VENDOR 000613401 | Other | MO | MISSOURI DEPARTMENT OF SOCIAL SERVICES, CHILDRENS DIVISION |
| CCCJS A11182 | Other | AMERICAN COLLEGE OF CERTIFIED FORENSIC COUNSELORS | |
| ICAADC 597 | Other | THE INTERNATIONAL CERTIFICATION & RECIPROCITY CONSORTIUM / A & D ABUSE, INC. | |
| 1253-10266 | Other | MO | MO STATE CERTIFIED INTENMSIVE OUTPATIENT ALCOHOL & DRUG REHABILITATION CLINIC |
| REACT R-319 | Other | MO | MO STATE CERTIFIED REQUIRED EDUCATIONAL ASSESSMENT AND COMMUNITY TREATMENT |
| CASAC 542 | Other | MO | MISSOURI SUBSTANCE ABUSE PROFESSIONAL CREDENTIALING BOARD |
Other names
- ESCAPE Outpatient Chemical Dependency Counseling Center
Other providers in Moberly, MO
- Elite Pain Management, LLC
- Ann Lorene Elliot
- Osvaldo Enriquez Jr.
- Erinn Ensor
- Jennifer Lynn Epperson
- Eye Care Optical
- Jonathon Lee Fallis
- Foster Family Medicine & Associates LLC
- Kayla Marie Francis
- Denise Jean Freidel
All providers in Moberly, MO · Public Health or Welfare Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.