person
Nicholas Small
Children's Substance Abuse Rehabilitation Facility in Kennett, Missouri
NPI 1437565702

Nicholas Small is a Children's Substance Abuse Rehabilitation Facility based in Kennett, MO and is specialized in Substance Abuse Treatment, Children. Nicholas Small practices in Kennett, MO. The NPI Number for Nicholas Small is 1437565702 and holds a License No. (Missouri).

The current practice location address for Nicholas Small is 1109 Jones St, Kennett, MO and can be reached out via phone at 573-888-6545. You can also correspond with Nicholas Small through the mailing address at 1109 JONES ST, KENNETT, MO - 63857-3824 (mailing address contact number: 573-888-6545).

Location: 1109 Jones St, Kennett, MO, 63857-3824
person
Provider Profile Details
NPI Number
1437565702
Provider Name
Nicholas Small
Credential
Provider Entity Type
Individual
Gender
Male
Address
1109 Jones St, Kennett, MO, 63857-3824
Phone Number
573-888-6545
Fax Number
Provider Enumeration Date
07/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1109 Jones St
City
State
Zip
63857-3824
Phone Number
573-888-6545
Fax Number
person
Provider Business Mailing Address Details
Address
1109 Jones St
City
State
Zip
63857-3824
Phone Number
573-888-6545
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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