Organization
MINERAL AREA COMMUNITY PSYCHIATRIC REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY L WINICK LMSW (PRESIDENT EXECUTIVE DIRECTOR)
(573) 756-2899
Entity
Organization
Contact information
Practice address
560 W PINE ST, FARMINGTON, MO 63640-1426
(573) 756-2899
(573) 756-4105
Mailing address
560 W PINE ST, P O BOX 510, FARMINGTON, MO 63640-1426
(573) 756-2899
(573) 756-4105
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2162
MO
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
2162
MO
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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