| Kirwood Medication Assisted Treatments | |
|
111 Prospect Ave Ste 201 Kirkwood MO 63122-6052 | |
| (314) 644-8310 | |
| (314) 293-6749 |
| Full Name | Kirwood Medication Assisted Treatments |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 111 Prospect Ave Ste 201, Kirkwood, Missouri |
| Authorized Official Name and Position | Gary Hammen (MEMBER) |
| Authorized Official Contact | 3146448310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirwood Medication Assisted Treatments 111 Prospect Ave Ste 201 Kirkwood MO 63122-6052 Ph: (314) 644-8310 | Kirwood Medication Assisted Treatments 111 Prospect Ave Ste 201 Kirkwood MO 63122-6052 Ph: (314) 644-8310 |
| NPI Number | 1053953422 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 05/25/2020 |
| Certification Date | 05/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053953422 | NPI | - | NPPES |
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