OrganizationActive
Encompassed Purpose
NPI 1821954926 · Substance Use Disorder Rehabilitation Clinic/Center · Mackscreek, MO
Provider details
- NPI number
- 1821954926
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bradley Berg, Executive Director(573) 286-5625
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Peer Specialist175T00000X
Other Service Providers
Allopathic & Osteopathic Physicians
- Addiction Psychiatry Physician2084P0802X
Allopathic & Osteopathic Physicians
Practice location
52 Pavilion Circle
Mackscreek, MO 65786
Phone: (573) 286-5625
Approximate (ZIP-level) locationGet directions
Mailing address
52 Pavilion Circle
Mackscreek, MO 65786
Registry dates
- Enumerated
- 2026-01-02
- Last updated
- 2026-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.