Organization
INITIAL INDEPENDENCE INC. OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCCOMBS MENTAL HEALTH PROF. (CLO)
(931) 434-3358
Entity
Organization
Contact information
Practice address
1432 CROOKED STICK DR, O FALLON, MO 63366-5556
(931) 434-3358
Mailing address
1432 CROOKED STICK DR, O FALLON, MO 63366-5556
(931) 434-3358
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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