Organization
FAMILY COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA LYNN CALLAHAN MSA (CEO)
(573) 888-5925
Entity
Organization
Contact information
Practice address
925 HWY V V, KENNETT, MO 63857
(573) 888-5925
(573) 888-9365
Mailing address
PO BOX 71, KENNETT, MO 63857-0071
(573) 888-5925
(573) 888-9365
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
1285-10223
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
860841535
—
MO
05
—
866201205
—
MO
Enumeration date
01/02/2007
Last updated
04/28/2008
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