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Agm Iop/php, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Olivette, Missouri
NPI 1346630803

Agm Iop/php, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Olivette, MO and is specialized in Rehabilitation, Substance Use Disorder. Agm Iop/php, Llc practices in Olivette, MO. The NPI Number for Agm Iop/php, Llc is 1346630803 and holds a License No. LC001426559 (Missouri).

The current practice location address for Agm Iop/php, Llc is 10199 Woodfield Ln, Olivette, MO and can be reached out via phone at 314-282-2517 and via fax at 314-845-2798.

Location: 10199 Woodfield Ln, Olivette, MO, 63132-2922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346630803
Provider Name
Agm Iop/php, Llc
Credential
Provider Entity Type
Organization
Address
10199 Woodfield Ln, Olivette, MO, 63132-2922
Phone Number
314-282-2517
Fax Number
314-845-2798
Provider Enumeration Date
02/04/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10199 Woodfield Ln
City
Olivette
State
Missouri
Zip
63132-2922
Phone Number
314-282-2517
Fax Number
314-845-2798
person
Provider Business Mailing Address Details
Address
10199 Woodfield Ln
City
Olivette
State
Missouri
Zip
63132-2922
Phone Number
314-282-2517
Fax Number
314-845-2798
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
LC001426559 (Missouri)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
LC001426559 (Missouri)
Definition
Definition to come...
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