Organization
EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
Active
Organization
EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MACKEY LCSW (CEO)
(573) 582-1234
Entity
Organization
Contact information
Practice address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234
Mailing address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1407
MO
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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