IndividualActive
Berley Beck
NPI 1649653221 · Children's Substance Abuse Rehabilitation Facility · Kennett, MO
Provider details
- NPI number
- 1649653221
- Entity type
- Individual
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
1109 Jones St
Kennett, MO 63857-3824
Registry dates
- Enumerated
- 2015-07-01
- Last updated
- 2015-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.