Elevated Care Mo
NPI #1861264863 in Farmington, Missouri
Provider Information
- NPI Number
- 1861264863
- Entity Type
- Organization
- Organization Name
- Elevated Care Mo
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 764 WEBER RD
- City
- Farmington
- State
- Missouri
- ZIP Code
- 63640-3317
- Phone
- (573) 664-1326
Authorized Official
- Name
- MR. MARK WARDLOW JR., LPC, CCDP-D, MARS
- Title
- CEO
- Phone
- (573) 664-1326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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