Organization
MINERAL AREA COMMUNITY PSYCHIATRIC REHABILITATION CENTER, INC.
Active
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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