Organization
FARMINGTON MISSOURI HOSPITAL COMPANY LLC
Active
Parent organization
FARMINGTON MISSOURI HOSPITAL COMPANY LLC
Other names
Children's Haven
Organization subpart
Yes
Provider details
NPI number
Legal business name
FARMINGTON MISSOURI HOSPITAL COMPANY LLC
Authorized official
DEBBIE T BREWER (SR VICE PRESIDENT)
(877) 892-9813
Entity
Organization
Contact information
Practice address
605 WALLACE RD, FARMINGTON, MO 63640-9217
(573) 756-2108
(573) 756-1865
Mailing address
605 WALLACE RD, FARMINGTON, MO 63640-9217
(573) 756-2108
(573) 756-1865
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
04/20/2008
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