| Missouri Department Of Mental Health | |
|
1706 E Elm St Jefferson City MO 65101-4130 | |
| (573) 751-2940 | |
| Not Available |
| Full Name | Missouri Department Of Mental Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1706 E Elm St, Jefferson City, Missouri |
| Authorized Official Name and Position | Lynne Fulks (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 5737518142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Department Of Mental Health 1706 E Elm St Jefferson City MO 65101-4130 Ph: () - | Missouri Department Of Mental Health 1706 E Elm St Jefferson City MO 65101-4130 Ph: (573) 751-2940 |
| NPI Number | 1134577653 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 08/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134577653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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