| Organization Name: | ESCAPE A&D, LLC |
| NPI Number: | 1235304098 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY SCOTT EAMES (CEO PRIMARY THERAPIST) |
| Mailing Address: | 501 N Ault St Moberly |
| State: | MO US |
| Postal Code: | 652702506 |
| Phone Number: | 6602637552 |
| Fax Number: | 6602636593 |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 04/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 1253-10266 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |