Organization
CLEARWATER COUNSELING AND COURT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M RUNDQUIST CRADC (PROGRAM DIRECTOR)
(636) 583-6115
Entity
Organization
Contact information
Practice address
100 E MAIN ST, UNION, MO 63084-1618
(636) 583-6115
(636) 583-5364
Mailing address
100 E MAIN ST, UNION, MO 63084-1618
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1262-10795
MO
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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