Organization
BURRELL, INC.
Active
Other names
Burrell Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA R CARTER (CREDENTIALING MANAGER)
(417) 761-5126
Entity
Organization
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
860032383
—
MO
Enumeration date
05/10/2016
Last updated
01/17/2019
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