| Wider Opportunities Inc | |
|
410 State St Labelle MO 63447-0225 | |
| (660) 213-3290 | |
| (660) 213-3291 |
| Full Name | Wider Opportunities Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 410 State St, Labelle, Missouri |
| Authorized Official Name and Position | Robert D Wallace (DIRECTOR) |
| Authorized Official Contact | 6602133290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wider Opportunities Inc Po Box 225 Labelle MO 63447-0225 Ph: (660) 213-3290 | Wider Opportunities Inc 410 State St Labelle MO 63447-0225 Ph: (660) 213-3290 |
| NPI Number | 1942422241 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942422241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |