Organization
SYNERGY RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN MARIE LOETHEN LPC, NCC (CLINICAL DIRECTOR)
(417) 812-4440
Entity
Organization
Contact information
Practice address
3955 S FARM ROAD 223, ROGERSVILLE, MO 65742-8807
(417) 812-4440
(417) 208-5880
Mailing address
3955 S FARM ROAD 223, ROGERSVILLE, MO 65742-8807
(417) 812-4440
(417) 208-5880
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2008002505
MO
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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