Organization
MINERAL AREA COMMUNITY PSYCHIATRIC REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY LEE WINICK MSW (EXECUTIVE PROGRAM DIRECTOR)
(573) 756-2899
Entity
Organization
Contact information
Practice address
203 SOUTH WASHINGTON, FARMINGTON, MO 63640-0510
(573) 756-2899
(573) 756-4105
Mailing address
PO BOX 510, FARMINGTON, MO 63640-0510
(573) 756-2899
(573) 756-4105
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
3607295
MO
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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