Organization
YOUTHTRANS L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH J FORD (MEMBER)
(660) 346-1415
Entity
Organization
Contact information
Practice address
215 N GRAND ST, CLARENCE, MO 63437-1609
(660) 346-1415
Mailing address
PO BOX 67, CLARENCE, MO 63437-0067
(660) 346-1415
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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