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Organization

DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.

Active
Other names
MOCH Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER HEINLEIN (HR)
(417) 683-4831
Entity
Organization

Contact information

Practice address
603 NW 10TH AVE., AVA, MO 65608
(417) 683-5739
(417) 683-1602
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-5739
(417) 683-1602

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1999135384
MO

Other

Enumeration date
09/30/2010
Last updated
09/30/2010
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