Organization
NORTH CENTRAL MISSOURI MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE ANDERSON (INSURANCE BILLING SUPERVISOR)
(660) 359-4487
Entity
Organization
Contact information
Practice address
1601 E 28TH ST, TRENTON, MO 64683-1178
(660) 359-4487
(660) 359-4129
Mailing address
PO BOX 30, TRENTON, MO 64683-0030
(660) 359-4487
(660) 359-4129
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876176215
—
MO
Enumeration date
02/28/2007
Last updated
12/18/2020
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