Organization
NOVA CENTER OF THE OZARKS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE CLINE (EXECUTIVE DIRECTOR)
(417) 889-3121
Entity
Organization
Contact information
Practice address
524 S UNION AVE, SPRINGFIELD, MO 65802-2660
(417) 889-3121
(417) 881-2214
Mailing address
524 S UNION AVE, SPRINGFIELD, MO 65802-2660
(417) 889-3121
(417) 881-2214
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/09/2007
Last updated
09/11/2025
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