Clearwater Counseling and Court Services Inc.
Organization Active NPI Community/Behavioral Health Agency · Union, MO
NPI 1740587948 · NPPES record last updated Feb 24, 2011
Key facts
- NPI
- 1740587948
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 1262-10795 (MO)
- Legal business name
- CLEARWATER COUNSELING AND COURT SERVICES INC.
- Practice address
- 100 E Main St
Union, MO 63084-1618 - Phone
- (636) 583-6115
- Fax
- (636) 583-5364
- NPI assigned
- Feb 24, 2011
- Organization subpart
- No
Authorized official
- Name
- Jeffrey M Rundquist, CRADC
- Title
- Program Director
- Phone
- (636) 583-6115
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Clearwater Counseling and Court Services Inc
Locations
100 E Main St
Union, MO 63084
Phone (636) 583-6115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1262-10795 | MO | Yes |
Addresses
Primary practice location
100 E Main St
Union, MO 63084-1618
Mailing address
100 E Main St
Union, MO 63084-1618
Other providers in Union, MO
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All providers in Union, MO · Community/Behavioral Health 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 Feb 24, 2011. 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.