Organization
HEARTLAND ALTERNATIVE SERVICE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA A HEAD (EXECUTIVE DIRECTOR)
(573) 686-5488
Entity
Organization
Contact information
Practice address
405 POPLAR ST, POPLAR BLUFF, MO 63901-5807
(573) 686-5488
(573) 686-2752
Mailing address
405 POPLAR ST, POPLAR BLUFF, MO 63901-5807
(573) 686-5488
(573) 686-2752
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
188
MO
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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