VCPHCS XV, LLC

JOPLIN, MO
NPI1144666264
Entity TypeOrganization
Authorized ContactJEMECE MICHELLE GASAWAY
Director Of Licensing
214-365-6126
Organization Subpart ?No
Primary Taxonomy261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder
(Licence: MO  1305-3)
Additional Taxonomies261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
261QM2800X Clinic/Center Methadone
(Licence: MO  1305-3)
Enumeration Date2013-05-15
Last Update Date2019-02-21
Business Address
VCPHCS XV, LLC
2919 E 4TH ST
JOPLIN, MO 64801-1625
Phone number: 417-782-7966
Mailing Address
VCPHCS XV, LLC
5001 SPRING VALLEY ROAD SUITE 600 EAST
DALLAS, TX 75244-3946
Phone number: 214-365-6100