| Comtrea, Inc. | |
|
227 E Main St Festus MO 63028-1952 | |
| (636) 931-2700 | |
| (636) 931-2139 |
| Full Name | Comtrea, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 227 E Main St, Festus, Missouri |
| Authorized Official Name and Position | Teresa L Porter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6608908156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comtrea, Inc. 227 E Main St Festus MO 63028-1952 Ph: (636) 931-2700 | Comtrea, Inc. 227 E Main St Festus MO 63028-1952 Ph: (636) 931-2700 |
| NPI Number | 1386773463 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 07/04/2023 |
| Certification Date | 07/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386773463 | NPI | - | NPPES |
| 876175514 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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