Organization
MAKING VISIONS POSSIBLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILAL SHABAZZ (OWNER)
(573) 703-2343
Entity
Organization
Contact information
Practice address
133 N 5TH ST, SIKESTON, MO 63801-5103
(573) 703-2343
Mailing address
133 N 5TH ST, SIKESTON, MO 63801-5103
(573) 703-2343
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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