| 'our House' Foundation | |
|
5325 S Maryland Ave Springfield MO 65810-2821 | |
| (417) 890-7637 | |
| (417) 890-7637 |
| Full Name | 'our House' Foundation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5325 S Maryland Ave, Springfield, Missouri |
| Authorized Official Name and Position | Rita Linda Spilken (FOUNDER / CEO -VOLUNTEER) |
| Authorized Official Contact | 4178897452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 'our House' Foundation 5325 S Maryland Ave Springfield MO 65810-2821 Ph: (417) 890-7637 | 'our House' Foundation 5325 S Maryland Ave Springfield MO 65810-2821 Ph: (417) 890-7637 |
| NPI Number | 1932369485 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932369485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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