Nicholas Small

NPI #1437565702 in Kennett, Missouri

Provider Information

NPI Number: 1437565702
Entity Type: Individual
Name: Nicholas Small
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Jul 8, 2014
Last Updated: Jul 8, 2014

Practice Location

Address: 1109 JONES ST
City: Kennett
State: Missouri
ZIP Code: 63857-3824
Phone: (573) 888-6545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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