Organization
MARK TWAIN ASSOCIATION FOR MENTAL HEALTH, INC
Active
Other names
Mark Twain Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY HAUGHT MBA (VICE PRESIDENT OF FINANCE)
(573) 600-9616
Entity
Organization
Contact information
Practice address
154 FORREST DR, HANNIBAL, MO 63401-5511
(573) 221-2120
(573) 221-4380
Mailing address
154 FORREST DR, HANNIBAL, MO 63401-5511
(573) 221-2120
(573) 221-4380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562473504
—
MO
Enumeration date
11/14/2016
Last updated
01/05/2021
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