# HEARTLAND ALTERNATIVE SERVICE PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841320587
- **Authorized official:** MS. BARBARA A. HEAD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (573) 686-5488

## Contact information

- **Practice address:** 331 N MAIN ST, POPLAR BLUFF, MO 63901-5154
- **Practice address phone:** (573) 686-5488
- **Practice address fax:** (573) 686-5488
- **Mailing address:** 331 N MAIN ST, POPLAR BLUFF, MO 63901-5154
- **Mailing address phone:** (573) 686-5488
- **Mailing address fax:** (573) 686-5488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 188 | MO | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 04/06/2011
