Cpr Youth

LBN: State Of Missouri
Cpr Youth is an health care organization with primary practice located at 1706 E Elm St , Jefferson City MO 65101-4130. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as the primary health care specialty. State Of Missouri can be contacted via phone (573) 751-3398, or through Boeckmann, Molly Jane via phone (573) 751-4055.

Contact Information

Primary practice address
1706 E Elm St Jefferson City MO 65101-4130
Phone: (573) 751-3398
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boeckmann, Molly Jane
Phone: (573) 751-4055

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1578199238
LBN Legal business name State Of Missouri
DBA Doing business as Cpr Youth
Authorized official Boeckmann, Molly Jane
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 13th, 2020
Last updated Oct 27th, 2020 - about 5 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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