VCPHCS XV, LLC is a rehabilitation and substance use disorder clinic center in Joplin, MO. VCPHCS XV, LLC NPI is 1144666264. The provider is registered as an organization entity type.
The provider's business location address is:
2919 E 4TH ST
JOPLIN, MO
ZIP 64801-625
Phone: (417) 782-7966
Fax: (417) 624-4558
The provider's authorized official is Jemece Michelle Gasaway .
The authorized official title is Director Of Licensing and has the following contact phone number (214) 365-6126.
The CLIA number assigned to this NPI record is 26D2002164 - other - substance abuse treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/15/2013 and was last updated on 2/21/2019.