LARRY HAMPTON

HAYTI, MO
NPI1184879819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-11-21
Last Update Date2009-05-27
Business Address
-- LARRY HAMPTON CSAC
500 HWY J NORTH
HAYTI, MO 63851
Phone number: 573-359-2600
Mailing Address
-- LARRY HAMPTON CSAC
PO BOX 441
HAYTI, MO 63851-0441
Phone number: 573-359-2600