Escape Outpatient Chemical Dependency Counseling Center

LBN: Escape A&D, Llc
Escape Outpatient Chemical Dependency Counseling Center is an health care organization with primary practice located at 501 N Ault St , Moberly MO 65270-2506. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Escape A&D, Llc can be contacted via phone (660) 263-7552, or through Eames, Jerry Scott via phone (660) 263-7552.

Contact Information

Primary practice address
501 N Ault St Moberly MO 65270-2506
Phone: (660) 263-7552
Fax: (660) 263-6593
Website:
Map and Directions
Authorized official contact:
Name: Eames, Jerry Scott MS MAC CASAC CCCJS
Phone: (660) 263-7552

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 1253-10266 Missouri

Profile Details

NPI number 1235304098
LBN Legal business name Escape A&D, Llc
DBA Doing business as Escape Outpatient Chemical Dependency Counseling Center
Authorized official Eames, Jerry Scott MS MAC CASAC CCCJS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235304098 NPPES
Missouri Other SATOP 066 MO STATE CERTIFIED SUBSTANCE ABUSE TRAFFIC OFFENDER PROGRAMS
Missouri Other MAC 501662 MO STATE CERTIFIED SUBSTANCE ABUSE TRAFFIC OFFENDER PROGRAMS
Missouri Other VENDOR 000613401 MO STATE CERTIFIED SUBSTANCE ABUSE TRAFFIC OFFENDER PROGRAMS
Missouri Other CCCJS A11182 MO STATE CERTIFIED SUBSTANCE ABUSE TRAFFIC OFFENDER PROGRAMS
Missouri Other ICAADC 597 MO STATE CERTIFIED SUBSTANCE ABUSE TRAFFIC OFFENDER PROGRAMS
Missouri Other 1253-10266 MO STATE CERTIFIED SUBSTANCE ABUSE TRAFFIC OFFENDER PROGRAMS
Missouri Other REACT R-319 MO STATE CERTIFIED SUBSTANCE ABUSE TRAFFIC OFFENDER PROGRAMS
Missouri Other CASAC 542 MO STATE CERTIFIED SUBSTANCE ABUSE TRAFFIC OFFENDER PROGRAMS

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