Organization
HANNIBAL COUNCIL ON ALCOHOL AND DRUG ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER WILSON (EXECUTIVE DIRECTOR)
(573) 248-1196
Entity
Organization
Contact information
Practice address
146 COMMUNICATION DR, HANNIBAL, MO 63401-3672
(573) 248-1196
(573) 248-1259
Mailing address
146 COMMUNICATION DR, HANNIBAL, MO 63401-3672
(573) 248-1196
(573) 248-1259
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1517
MO
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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