Organization
OZARKS AREA COMMUNITY ACTION CORPORATION HEAD START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CLARK (HEALTH SERVICES ASSISTANT)
(417) 864-3430
Entity
Organization
Contact information
Practice address
215 S BARNES AVE, SPRINGFIELD, MO 65802-2204
(417) 864-3430
(417) 864-3449
Mailing address
215 S BARNES AVE, SPRINGFIELD, MO 65802-2204
(417) 864-3430
(417) 864-3449
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
208000000X
Pediatrics Physician
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500365200
—
MO
Enumeration date
01/05/2007
Last updated
06/03/2008
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