Organization
IP RESERVE
Active
Other names
Inner Peace Reserve
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN FORBES (EXECUTIVE DIRECTOR)
(855) 822-1400
Entity
Organization
Contact information
Practice address
21332 MIDWAY AVE, GALLATIN, MO 64640-6314
(801) 639-9530
Mailing address
21708 NICKEL AVE, GALLATIN, MO 64640-6369
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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