| Cpr Youth | |
|
1800 Community Clinton MO 64735-8804 | |
| (660) 885-8131 | |
| Not Available |
| Full Name | Cpr Youth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1800 Community, Clinton, Missouri |
| Authorized Official Name and Position | Teresa Porter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6608858131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpr Youth 1800 Community Clinton MO 64735-8804 Ph: (660) 885-8131 | Cpr Youth 1800 Community Clinton MO 64735-8804 Ph: (660) 885-8131 |
| NPI Number | 1861559023 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861559023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Missouri) | Primary |
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