Organization
FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN SANDO (CEO)
(573) 888-5925
Entity
Organization
Contact information
Practice address
925 HIGHWAY V V, KENNETT, MO 63857-0071
(573) 888-5925
(573) 888-9365
Mailing address
925 HIGHWAY V V, KENNETT, MO 63857-0071
(573) 888-5925
(573) 888-9365
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/29/2016
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