Organization
MISSOURI ALCOHOL ASSESSMENT CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M RUNDQUIST QSAP (COUNSELOR)
(314) 724-5849
Entity
Organization
Contact information
Practice address
20 S CHURCH ST, UNION, MO 63084-1856
(636) 583-6115
Mailing address
20 S CHURCH ST, UNION, MO 63084-1856
(636) 583-6115
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
135
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135
SATOP
MO
Enumeration date
05/15/2008
Last updated
05/15/2008
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