Organization
THE H.O.U.S.E INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE MICKELS CRADC, CCJP (EXECTIVE DIRECTOR)
(417) 623-8933
Entity
Organization
Contact information
Practice address
2004 S JOPLIN AVE, JOPLIN, MO 64804-2032
(417) 540-2958
(417) 623-3223
Mailing address
24730 STATE HIGHWAY 171, WEBB CITY, MO 64870-2413
(417) 623-8933
(417) 623-3223
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2010036933
MO
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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