Organization
BURRELL, INC.
Active
Organization
BURRELL, INC.
Active
Other names
Centerstone of Missouri, Burrell Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA R CARTER (VP MANAGED CARE)
(417) 761-5126
Entity
Organization
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501022404
—
MO
05
—
507132207
—
MO
05
—
561028200
—
MO
05
—
856168802
—
MO
Enumeration date
08/03/2006
Last updated
03/13/2026
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