| Lake Area Citizens' Advisory Board, Inc. | |
|
409r W Us Highway 54 Camdenton MO 65020-6948 | |
| (573) 317-9061 | |
| (573) 317-1970 |
| Full Name | Lake Area Citizens' Advisory Board, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 409r W Us Highway 54, Camdenton, Missouri |
| Authorized Official Name and Position | Bradley Berg (BOARD PRESIDENT) |
| Authorized Official Contact | 5733179061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Area Citizens' Advisory Board, Inc. 409r W Us Highway 54 Camdenton MO 65020-6948 Ph: (573) 317-9061 | Lake Area Citizens' Advisory Board, Inc. 409r W Us Highway 54 Camdenton MO 65020-6948 Ph: (573) 317-9061 |
| NPI Number | 1902069552 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902069552 | NPI | - | NPPES |
| 273370857 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Missouri) | Primary |
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