| Clearwater Counseling And Court Services Inc. | |
|
100 E Main St Union MO 63084-1618 | |
| (636) 583-6115 | |
| (636) 583-5364 |
| Full Name | Clearwater Counseling And Court Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 E Main St, Union, Missouri |
| Authorized Official Name and Position | Jeffrey M Rundquist (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6365836115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Counseling And Court Services Inc. 100 E Main St Union MO 63084-1618 Ph: () - | Clearwater Counseling And Court Services Inc. 100 E Main St Union MO 63084-1618 Ph: (636) 583-6115 |
| NPI Number | 1740587948 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 02/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740587948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1262-10795 (Missouri) | Primary |
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