Organization
CH MH SERVICES (MO), LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARIE BRYANT (VP, RCM)
(803) 955-6655
Entity
Organization
Contact information
Practice address
3675 S NOLAND RD STE 302, INDEPENDENCE, MO 64055-3369
(406) 219-7835
(406) 794-0395
Mailing address
169 MADISON AVE STE 15011, NEW YORK, NY 10016-5101
(986) 206-0414
(406) 794-0395
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/20/2022
Last updated
01/28/2026
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