Whalio Doctors

NPI 1003123597

Breaking the Mental Chains, LLC

Organisation Community/Behavioral Health Agency Springfield, MO

Practice location

Address
1522 E Camino Alto St, Springfield, MO 65804-7303
Phone
(417) 894-2731
Fax
(417) 890-7757
Mailing address
PO Box 14462, Springfield, MO 65814-0462

Authorised official

Name
Ed Melton
Title
Executive Director
Phone
(417) 894-2731

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence LC1083359 (MO)

Registry record

NPI
1003123597
Entity type
Organization
NPI issued
7 Sep 2010
Record last updated
7 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.