Organization
CLARK COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE SCHOON (DIRECTOR OF ADMINISTRATION)
(417) 476-1034
Entity
Organization
Contact information
Practice address
104 W MAIN ST, PIERCE CITY, MO 65723-1210
(417) 476-1000
(471) 476-1082
Mailing address
PO BOX 100, PIERCE CITY, MO 65723-2100
(417) 476-1000
(471) 476-1082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2470-8563
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876174301
—
MO
Enumeration date
01/18/2007
Last updated
04/05/2024
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