| Youthtrans L.l.c | |
|
215 N Grand St Clarence MO 63437-1609 | |
| (660) 346-1415 | |
| Not Available |
| Full Name | Youthtrans L.l.c |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 215 N Grand St, Clarence, Missouri |
| Authorized Official Name and Position | Sarah J Ford (MEMBER) |
| Authorized Official Contact | 6603461415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youthtrans L.l.c Po Box 67 Clarence MO 63437-0067 Ph: (660) 346-1415 | Youthtrans L.l.c 215 N Grand St Clarence MO 63437-1609 Ph: (660) 346-1415 |
| NPI Number | 1306124375 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 07/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306124375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Unlimited Abilities, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Vine St, Clarence, MO 63437 Phone: 660-651-4051 |