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Organization

MIDWEST INSTITUTE FOR ADDICTION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT MCKINNEY PHD (PRESIDENT)
(314) 569-2253
Entity
Organization

Contact information

Practice address
711 OLD BALLAS RD STE 203, CREVE COEUR, MO 63141
(314) 569-2253
(314) 569-2280
Mailing address
711 OLD BALLAS RD STE 203, CREVE COEUR, MO 63141-7069
(314) 569-2253
(314) 569-2280

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MO
101YM0800X
Mental Health Counselor
MO
207QA0401X
Addiction Medicine (Family Medicine) Physician
MO
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
MO
324500000X
Substance Abuse Rehabilitation Facility
Primary
MO

Other

Enumeration date
04/12/2012
Last updated
02/26/2020
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