| Missouri Alcohol Assessment Consultants, Inc. | |
|
20 S Church St Union MO 63084-1856 | |
| (636) 583-6115 | |
| Not Available |
| Full Name | Missouri Alcohol Assessment Consultants, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20 S Church St, Union, Missouri |
| Authorized Official Name and Position | Jeffrey M Rundquist (COUNSELOR) |
| Authorized Official Contact | 3147245849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Alcohol Assessment Consultants, Inc. 20 S Church St Union MO 63084-1856 Ph: (636) 583-6115 | Missouri Alcohol Assessment Consultants, Inc. 20 S Church St Union MO 63084-1856 Ph: (636) 583-6115 |
| NPI Number | 1518134840 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518134840 | NPI | - | NPPES |
| 135 | Other | MO | SATOP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 135 (Missouri) | Primary |
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