Individual provider · Type 1 NPI

Nicholas Small

Children's Substance Abuse Rehabilitation Facility · Kennett, MO

NPI number 1437565702 Active

Practice location

1109 Jones St
Kennett, MO 63857-3824

Call (573) 888-6545 Map

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1437565702

Nicholas Small's National Provider Identifier is 1437565702, issued on Jul 8, 2014. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Kennett, MO. The record was last updated on Jul 8, 2014.