Organization
NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER
Active
Organization
NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER
Active
Other names
86 & 87 Waiver/NCMMHC
Organization subpart
No
Provider details
NPI number
Authorized official
LORYNE D IRVINE LCSW (EXECUTIVE DIRECTOR)
(660) 359-4487
Entity
Organization
Contact information
Practice address
1601 E 28TH ST, TRENTON, MO 64683-1178
(660) 359-4487
(660) 359-2958
Mailing address
PO BOX 30, TRENTON, MO 64683-0030
(660) 359-4487
(660) 359-4129
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2208
MO
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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