Organization
MIDWEST BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL DAVIS JR. PSY.D. (OWNER)
(660) 281-6601
Entity
Organization
Contact information
Practice address
116 S LINCOLN DR, TROY, MO 63379-1418
(636) 528-1996
(636) 528-1833
Mailing address
116 S LINCOLN DR, TROY, MO 63379-1418
(636) 528-1996
(636) 528-1833
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504578303
—
MO
Enumeration date
06/16/2006
Last updated
06/05/2008
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