| Embark By Calo | |
|
110 Crossing Drive Suite 1 Lake Ozark MO 65049 | |
| (573) 365-2221 | |
| Not Available |
| Full Name | Embark By Calo |
|---|---|
| Speciality | Counselor - Professional |
| Location | 110 Crossing Drive Suite 1, Lake Ozark, Missouri |
| Authorized Official Name and Position | Cecily M Mitchell (DIRECTOR) |
| Authorized Official Contact | 9135936376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embark By Calo P.o. Box 1810 Lake Ozark MO 65049 Ph: (573) 365-2221 | Embark By Calo 110 Crossing Drive Suite 1 Lake Ozark MO 65049 Ph: (573) 365-2221 |
| NPI Number | 1679099725 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 08/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679099725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2012040525 (Missouri) | Primary |
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