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Organization

BJC BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY LYNN REED (PEER SPECIALIST)
(573) 756-5353
Entity
Organization

Contact information

Practice address
1085 MAPLE STREET, FARMINGTON, MO 63640
(573) 756-5353
(573) 756-4557
Mailing address
3471 ROSENER ROAD, APT 1, PARK HILLS, MO 63601
(573) 327-9022

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/05/2009
Last updated
10/05/2009
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