Organization
FAMILY COUNSELING CENTER, INC.
Active
Other names
FCC Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY S ELLIS (CHIEF COMPLIANCE OFFICER)
(573) 888-5925
Entity
Organization
Contact information
Practice address
3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
(573) 686-1200
Mailing address
3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
(573) 686-1200
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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