| Life Transformation Center | |
|
430 W Elk St Carthage MO 64836-3607 | |
| (417) 358-3991 | |
| (417) 358-7876 |
| Full Name | Life Transformation Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 430 W Elk St, Carthage, Missouri |
| Authorized Official Name and Position | Mike Morgan (PRESIDENT OF THE BOARD) |
| Authorized Official Contact | 4173583991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Transformation Center Po Box 535 430 W. Elk Carthage MO 64836-0535 Ph: (417) 358-3991 | Life Transformation Center 430 W Elk St Carthage MO 64836-3607 Ph: (417) 358-3991 |
| NPI Number | 1720318660 |
|---|---|
| Provider Enumeration Date | 12/27/2009 |
| Last Update Date | 12/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720318660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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