East Central Missouri Behavioral Health Serives, Inc

NPI 1376607432 - Psychologist - 103TR0400X

NPI Details
NPI 1376607432
Enumeration Date 12/21/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRY TERRY
Position PRESIDENT
Phone (573) 582-1234
Fax (573) 582-1212
Practice Location
321 W PROMENADE ST
MEXICO MO, 65265-2719, US
Phone (573) 582-1234
Fax (573) 582-1212
Business Location
321 W PROMENADE ST
MEXICO MO, 65265-2719, US
Phone (573) 582-1234
Fax (573) 582-1212
Toxanomy
Taxonomy Code 103TR0400X
License State Missouri
License Number 5726-7685
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According to our database, East Central Missouri Behavioral Health Serives, Inc NPI is 1376607432, taxonomy code is 103TR0400X and license number is 5726-7685, license state is located at Missouri. East Central Missouri Behavioral Health Serives, Inc physically located at 321 W Promenade St, Mexico MO, 65265-2719. NPI Number 1033115704 has the healthcare provider type.

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1376607432 NPI number is provided on an as is basis without warranty of any kind. 1376607432 is maintained by the National Plan & Provider Enumeration System. The contents of East Central Missouri Behavioral Health Serives, Inc are for informational purposes only.