| Family Wellness Program | |
|
100 W Main St Union MO 63084-1363 | |
| (636) 583-1800 | |
| (636) 583-8355 |
| Full Name | Family Wellness Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 W Main St, Union, Missouri |
| Authorized Official Name and Position | Jerry Marks (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3145443800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Program 100 W Main St Union MO 63084-1363 Ph: (636) 583-1800 | Family Wellness Program 100 W Main St Union MO 63084-1363 Ph: (636) 583-1800 |
| NPI Number | 1912020199 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912020199 | NPI | - | NPPES |
| 11617478 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW003877 (Missouri) | Primary |
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