OZARKS TEEN CHALLENGE


Address: 512 Purist Lane, Branson West, MO 65737
Phone: 4172723784

OZARKS TEEN CHALLENGE (NPI# 1437470184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437470184
Entity Type Organization
Organization Name OZARKS TEEN CHALLENGE
Other Organization Name TEEN CHALLENGE OF FLORIDA
Practice Address 512 Purist Lane
Branson West
MO 65737
Mailing Address P.o. Box 2066
Branson West
MO 65737
Practice Telephone 4172723784
Mailing Telephone 4172723784
Enumeration Date 2010-06-17
Last Update Date 2010-06-17
Authorized Official Name MR. JAKE LYNCH (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4172723784
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities
Y 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Teen Challenge of Florida Doing Business As Name - Organization

Office Location

Street Address 512 PURIST LANE
City BRANSON WEST
State MO
Zip Code 65737

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1720624026 Lindsey Grace Hejlek Physical Therapist 16914 Mo-13, Branson West, MO 65737 2019-11-21
1538721444 Brandon Kratz Dentist 18020 Business 13 Suite E, Branson West, MO 65737 2019-07-01
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1285109041 Branson Kidney Center LLC Clinic/Center 17829 Bus 13, Branson West, MO 65737 2018-10-09
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1699149575 Megan Key Counselor 18593 Business 13 Ste 104-106, Branson West, MO 65737 2015-11-16
1255767828 Annette Vorhoff Nurse Practitioner 108 Sunny Lane, 360 Degree Medicine, Branson, MO 65737 2013-09-16
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Taxonomy Information

Taxonomy Code 3245S0500X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility
Specialization Substance Abuse Treatment, Children

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255724654 Mbss Counseling Group LLC Substance Abuse Rehabilitation Facility 5706 Troost Ave, Kansas City, MO 64110-2826 2015-03-09
1790019594 Preferred Family Healthcare, Inc. Substance Abuse Rehabilitation Facility 5620 W. Wildwood Parkway, Joplin, MO 64804 2009-09-25
1245363183 Preferred Family Healthcare Substance Abuse Rehabilitation Facility 411 E Locust St, Union, MO 63084-1865 2007-03-13
1336272277 Preferred Family Healthcare, Inc. Substance Abuse Rehabilitation Facility 269 Firehouse Ln, Troy, MO 63379 2007-03-13
1891828737 Preferred Family Healthcare Substance Abuse Rehabilitation Facility 1776 Crosswinds Dr, Wentzville, MO 63385-4832 2007-03-13
1447381454 Preferred Family Healthcare Substance Abuse Rehabilitation Facility 5025 Northrup Ave, Saint Louis, MO 63110-2029 2007-03-08
1891824751 Comprehensive Mental Health Services, Inc. Substance Abuse Rehabilitation Facility 4231 S Hocker Dr Bldg 13, Independence, MO 64055-4723 2007-03-05
1942338504 Burrell, Inc. Substance Abuse Rehabilitation Facility 1949 E Cherry St, Springfield, MO 65802-2952 2007-03-02
1962547075 Preferred Family Healthcare, Inc. Substance Abuse Rehabilitation Facility 2 Westbury Dr, Saint Charles, MO 63301-2558 2007-02-20
1871638981 Preferred Family Healthcare, Inc Substance Abuse Rehabilitation Facility 8333 E Blue Pkwy, Kansas City, MO 64133-4750 2007-02-20
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Competitor

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City BRANSON WEST
Zip Code 65737

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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