Organization
5COR BEHAVIORAL HEALTH SERVICES LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SCHROEDER (OFFICE MANAGER)
(912) 312-3457
Entity
Organization
Contact information
Practice address
119 ICHORD AVE, WAYNESVILLE, MO 65583-5401
(912) 312-9632
Mailing address
144 RIDGEVIEW DR, SAINT ROBERT, MO 65584-8614
(912) 312-3457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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