Ip Reserve

NPI #1912529041 in Gallatin, Missouri

Provider Information

NPI Number
1912529041
Entity Type
Organization
Organization Name
Ip Reserve
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
May 12, 2020
Last Updated
May 12, 2020

Practice Location

Address
21708 NICKEL AVE
ZIP Code
64640-6369
Phone
(855) 822-1400

Authorized Official

Name
COLIN FORBES
Title
EXECUTIVE DIRECTOR
Phone
(855) 822-1400

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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