Organization
IP RESERVE
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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