| Breaking The Mental Chains, Llc | |
|
1522 E Camino Alto St Springfield MO 65804-7303 | |
| (417) 894-2731 | |
| (417) 890-7757 |
| Full Name | Breaking The Mental Chains, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1522 E Camino Alto St, Springfield, Missouri |
| Authorized Official Name and Position | Ed Melton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4178942731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking The Mental Chains, Llc Po Box 14462 Springfield MO 65814-0462 Ph: (417) 894-2731 | Breaking The Mental Chains, Llc 1522 E Camino Alto St Springfield MO 65804-7303 Ph: (417) 894-2731 |
| NPI Number | 1003123597 |
|---|---|
| Provider Enumeration Date | 09/07/2010 |
| Last Update Date | 09/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003123597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC1083359 (Missouri) | Primary |
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