Center For Transition Llc | |
4432 W Juno St Springfield MO 65802-5657 | |
(417) 350-6860 | |
Not Available |
Full Name | Center For Transition Llc |
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Speciality | Social Worker - Clinical |
Location | 4432 W Juno St, Springfield, Missouri |
Authorized Official Name and Position | Joshua D Castillo (OWNER) |
Authorized Official Contact | 4173506860 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Transition Llc 4432 W Juno St Springfield MO 65802-5657 Ph: (417) 350-6860 | Center For Transition Llc 4432 W Juno St Springfield MO 65802-5657 Ph: (417) 350-6860 |
NPI Number | 1508204678 |
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Provider Enumeration Date | 06/11/2013 |
Last Update Date | 06/11/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508204678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2011001218 (Missouri) | Primary |
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