Nickles Private Probation Services LLC
NPI #1215779665 in Steelville, Missouri
Provider Information
- NPI Number
- 1215779665
- Entity Type
- Organization
- Organization Name
- Nickles Private Probation Services LLC
- Primary Specialty
- Clinic/Center - Recovery Care
- Enumeration Date
- Jun 7, 2024
- Last Updated
- Jun 7, 2024
Practice Location
- Address
- 205 3RD ST
- City
- Steelville
- State
- Missouri
- ZIP Code
- 65565-5054
- Phone
- (573) 712-5145
Authorized Official
- Name
- MR. KENNETH LEE NICKLES JR.
- Title
- SOLE MEMBER
- Phone
- (573) 712-5145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Recovery Care — Recovery Care |
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