Organization
MARK TWAIN ASSOCIATION FOR MENTAL HEALTH, INC
Active
Other names
Mark Twain Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY SUE HAUGHT MBA (VICE PRESIDENT OF FINANCE)
(573) 600-9616
Entity
Organization
Contact information
Practice address
146 COMMUNICATION DR, HANNIBAL, MO 63401-3672
(573) 248-1196
Mailing address
154 FORREST DR, HANNIBAL, MO 63401-5511
(573) 221-2120
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
860006402
—
MO
Enumeration date
09/07/2021
Last updated
09/07/2021
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