Organization
LAKE AREA CITIZENS' ADVISORY BOARD, INC.
Active
Organization
LAKE AREA CITIZENS' ADVISORY BOARD, INC.
Active
Other names
Lake Area Counseling & Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY BERG (BOARD PRESIDENT)
(573) 317-9061
Entity
Organization
Contact information
Practice address
409R W US HIGHWAY 54, CAMDENTON, MO 65020-6948
(573) 317-9061
(573) 317-1970
Mailing address
409R W US HIGHWAY 54, CAMDENTON, MO 65020-6948
(573) 317-9061
(573) 317-1970
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273370857
—
MO
Enumeration date
07/03/2008
Last updated
05/07/2025
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