Organization
OZARK CENTER
Active
Other names
Childrens TCM
Organization subpart
No
Provider details
NPI number
Authorized official
MARY B. PARRIGON (CHIEF FINANCIAL OFFICER)
(417) 347-7600
Entity
Organization
Contact information
Practice address
3006 MC CLELLAND BLVD, JOPLIN, MO 64804-1637
(417) 347-7600
(417) 347-7608
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7600
(417) 347-7608
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3070-8702
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152665303
—
MO
Enumeration date
01/08/2007
Last updated
12/02/2009
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