Organization
FORTITUDE INTENSIVE OUTPATIENT PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHABANA INSAF PHD (MANAGER)
(417) 243-7777
Entity
Organization
Contact information
Practice address
500 W MAIN ST, ST. 204, BRANSON, MO 65616-2727
(417) 243-7777
(417) 243-7778
Mailing address
500 W MAIN ST, ST. 204, BRANSON, MO 65616-2727
(417) 243-7777
(417) 243-7778
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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