Fortitude Intensive Outpatient Program LLC

NPI #1902262991 in Branson, Missouri

Provider Information

NPI Number
1902262991
Entity Type
Organization
Organization Name
Fortitude Intensive Outpatient Program LLC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Jan 7, 2016
Last Updated
Jan 7, 2016

Practice Location

Address
500 W MAIN ST
Address 2
ST. 204
ZIP Code
65616-2727
Phone
(417) 243-7777

Authorized Official

Name
MRS. SHABANA INSAF, PHD
Title
MANAGER
Phone
(417) 243-7777

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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