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Organization

UNIVERSITY OF MISSOURI, COLUMBIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA MCCANN (PROGRAM COORDINATOR)
(573) 882-8907
Entity
Organization

Contact information

Practice address
1 HOSPITAL DR # DC067.00, COLUMBIA, MO 65212-0001
(573) 882-8907
Mailing address
4306 JEANA CT, COLUMBIA, MO 65203-6518

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
2015040404
MO

Other

Enumeration date
12/15/2015
Last updated
12/15/2015
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