Organization
MASSAC COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE RATH (EXECUTIVE DIRECTOR)
(618) 524-9368
Entity
Organization
Contact information
Practice address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9368
Mailing address
206 W 5TH ST, METROPOLIS, IL 62960-1810
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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