Organization
NEW VISION YOUTH AND FAMILY SERVICES INC
Active
Organization
NEW VISION YOUTH AND FAMILY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONICA GRIFFITH (OFFICE MANAGER)
(573) 334-3486
Entity
Organization
Contact information
Practice address
112 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5759
(573) 334-3486
(573) 334-3524
Mailing address
112 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5759
(573) 334-3486
(573) 334-3524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500285200
—
MO
Enumeration date
05/11/2007
Last updated
10/04/2022
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