Organization
YOUNG AT HEART RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STOPKA (CEO)
(660) 240-9400
Entity
Organization
Contact information
Practice address
809 N 13TH ST, ALBANY, MO 64402-2035
(660) 240-9400
(660) 726-4113
Mailing address
PO BOX 265, ALBANY, MO 64402-0265
(660) 726-3800
(660) 726-4113
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
288100605
MO
251V00000X
Voluntary or Charitable Agency
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Other
Enumeration date
03/08/2007
Last updated
12/11/2020
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