Organization
FAMILY SELF HELP CENTER, INC.
Active
Other names
Lafayette House
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON MALINOWSKI SUNDAY (EXECUTIVE DIRECTOR)
(417) 782-1772
Entity
Organization
Contact information
Practice address
1809 S CONNOR AVE, JOPLIN, MO 64804-1837
(417) 782-1772
(417) 782-3832
Mailing address
PO BOX 1765, JOPLIN, MO 64802-1765
(417) 782-1772
(417) 782-3832
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862946100
—
MO
Enumeration date
04/25/2016
Last updated
04/25/2016
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