Organization
MIDWEST INSTITUTE FOR ADDICTION, INC
Active
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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