Organization Name: | FAMILY INSTITUTE OF THE OZARKS |
NPI Number: | 1023197274 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD N. KEMP (DIRECTOR) |
Mailing Address: | 315 S Main Ave Bolivar |
State: | MO US |
Postal Code: | 656132052 |
Phone Number: | 4173262902 |
Fax Number: | 4173264555 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 12/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2003031288 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |