| Fostering Communities | |
|
836 S Suburban Ave Springfield MO 65802-6774 | |
| (417) 658-5409 | |
| Not Available |
| Full Name | Fostering Communities |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 836 S Suburban Ave, Springfield, Missouri |
| Authorized Official Name and Position | Gener Estrada Garcia (CEO, CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4176585409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fostering Communities 3871 S Suburban Springfield MO 65807 Ph: (417) 658-5408 | Fostering Communities 836 S Suburban Ave Springfield MO 65802-6774 Ph: (417) 658-5409 |
| NPI Number | 1144931601 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 12/06/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144931601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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