| Fortitude Intensive Outpatient Program Llc | |
|
500 W Main St St. 204 Branson MO 65616-2727 | |
| (417) 243-7777 | |
| (417) 243-7778 |
| Full Name | Fortitude Intensive Outpatient Program Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 500 W Main St, Branson, Missouri |
| Authorized Official Name and Position | Shabana Insaf (MANAGER) |
| Authorized Official Contact | 4172437777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Intensive Outpatient Program Llc 500 W Main St St. 204 Branson MO 65616-2727 Ph: (417) 243-7777 | Fortitude Intensive Outpatient Program Llc 500 W Main St St. 204 Branson MO 65616-2727 Ph: (417) 243-7777 |
| NPI Number | 1902262991 |
|---|---|
| Provider Enumeration Date | 01/07/2016 |
| Last Update Date | 01/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902262991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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