Organization
PRAISE ASSEMBY
Active
Other names
Safe Arbor Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM LYONS MA. (LPC)
(417) 833-8300
Entity
Organization
Contact information
Practice address
2032 E KEARNEY ST STE 214, SPRINGFIELD, MO 65803-4662
(417) 833-8300
Mailing address
4010 W HARRISON ST, SPRINGFIELD, MO 65802-5756
(417) 619-8921
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
2008032814
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2008032814
MO
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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