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Organization

NORTHEAST MISSOURI HEALTH COUNCIL, INC.

Active
Other names
Northeast Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW GRIMM (EXECUTIVE DIRECTOR)
(660) 627-5757
Entity
Organization

Contact information

Practice address
314 E MCPHERSON ST, KIRKSVILLE, MO 63501-3557
(660) 627-5757
(660) 627-5802
Mailing address
1416 CROWN DRIVE, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
002241
MO
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
MO

Other

Enumeration date
03/23/2011
Last updated
06/24/2011
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