institution
Heartland Alternative Service Program
Addiction (Substance Use Disorder) Counselor in Poplar Bluff, Missouri
NPI 1841320587

Heartland Alternative Service Program is an Addiction (Substance Use Disorder) Counselor based in Poplar Bluff, MO and is specialized in Addiction (Substance Use Disorder). Heartland Alternative Service Program practices in Poplar Bluff, MO. The NPI Number for Heartland Alternative Service Program is 1841320587 and holds a License No. 188 (Missouri).

The current practice location address for Heartland Alternative Service Program is 331 N Main St, Poplar Bluff, MO and can be reached out via phone at 573-686-5488 and via fax at 573-686-5488.

Location: 331 N Main St, Poplar Bluff, MO, 63901-5154
institution
Provider Profile Details
NPI Number
1841320587
Provider Name
Heartland Alternative Service Program
Credential
Provider Entity Type
Organization
Address
331 N Main St, Poplar Bluff, MO, 63901-5154
Phone Number
573-686-5488
Fax Number
573-686-5488
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
188 01 MO SATOP CERTIFICATION #
institution
Provider Business Practice Location Address Details
Address
331 N Main St
City
State
Zip
63901-5154
Phone Number
573-686-5488
Fax Number
573-686-5488
person
Provider Business Mailing Address Details
Address
331 N Main St
City
State
Zip
63901-5154
Phone Number
573-686-5488
Fax Number
573-686-5488
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
188 (Missouri)
Definition
Definition to come...
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