Provider Demographics
NPI:1326122961
Name:OZARK CENTER
Entity Type:Organization
Organization Name:OZARK CENTER
Other - Org Name:TURNAROUND RANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:NICK
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:417-781-0821
Mailing Address - Street 1:PO BOX 2526
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-2526
Mailing Address - Country:US
Mailing Address - Phone:417-781-0821
Mailing Address - Fax:417-625-8421
Practice Address - Street 1:1949 SNOWBERRY LANE
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64803-2526
Practice Address - Country:US
Practice Address - Phone:417-781-0821
Practice Address - Fax:417-625-8421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCS001675101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty