Provider Demographics
NPI:1932369485
Name:'OUR HOUSE' FOUNDATION
Entity type:Organization
Organization Name:'OUR HOUSE' FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / CEO -VOLUNTEER
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:SPILKEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:417-889-7452
Mailing Address - Street 1:5325 S MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65810-2821
Mailing Address - Country:US
Mailing Address - Phone:417-890-7637
Mailing Address - Fax:417-890-7637
Practice Address - Street 1:5325 S MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65810-2821
Practice Address - Country:US
Practice Address - Phone:417-890-7637
Practice Address - Fax:417-890-7637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health