# ESCAPE A&D, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ESCAPE Outpatient Chemical Dependency Counseling Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235304098
- **Authorized official:** MR. JERRY SCOTT EAMES MS MAC CASAC CCCJS (CEO PRIMARY THERAPIST)
- **Authorized official phone:** (660) 263-7552

## Contact information

- **Practice address:** 501 N AULT ST, MOBERLY, MO 65270-2506
- **Practice address phone:** (660) 263-7552
- **Practice address fax:** (660) 263-6593
- **Mailing address:** 501 N AULT ST, MOBERLY, MO 65270-2506
- **Mailing address phone:** (660) 263-7552
- **Mailing address fax:** (660) 263-6593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 1253-10266 | MO | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008