Fortitude Intensive Outpatient Program Llc

LBN: Fortitude Intensive Outpatient Program Llc
Fortitude Intensive Outpatient Program Llc is an health care organization with primary practice located at 500 W Main St St. 204, Branson MO 65616-2727. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Fortitude Intensive Outpatient Program Llc can be contacted via phone (417) 243-7777, or through Insaf, Shabana via phone (417) 243-7777.

Contact Information

Primary practice address
500 W Main St St. 204 Branson MO 65616-2727
Phone: (417) 243-7777
Fax: (417) 243-7778
Website:
Map and Directions
Authorized official contact:
Name: Insaf, Shabana PHD
Phone: (417) 243-7777

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1902262991
LBN Legal business name Fortitude Intensive Outpatient Program Llc
DBA Doing business as
Authorized official Insaf, Shabana PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2016
Last updated Jan 7th, 2016 - about 10 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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