Organization
HEARTLAND RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGIE TRAVELLE WHITAKER (EXECUTIVE DIRECTOR)
(573) 209-3600
Entity
Organization
Contact information
Practice address
108 EAST MAIN, 108 EAST MAIN, EWING, MO 63440-0460
(573) 209-3600
(573) 209-3509
Mailing address
108 EAST MAIN STREET, EWING, MO 63440-0460
(573) 209-3600
(573) 209-3509
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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