| Bjc Behavioral Health | |
|
1085 Maple St Farmington MO 63640-1955 | |
| (573) 756-5353 | |
| (573) 756-4557 |
| Full Name | Bjc Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1085 Maple St, Farmington, Missouri |
| Authorized Official Name and Position | Mark Stansberry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3142063714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bjc Behavioral Health 3309 S Kingshighway Blvd Saint Louis MO 63139-1101 Ph: (314) 206-3700 | Bjc Behavioral Health 1085 Maple St Farmington MO 63640-1955 Ph: (573) 756-5353 |
| NPI Number | 1356472229 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356472229 | NPI | - | NPPES |
| 154902019 | Medicaid | MO | |
| 7107617 | Other | MO | DEPT. OF MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 267-7258 (Missouri) | Primary |
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Bjc Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple Street, Farmington, MO 63640 Phone: 573-756-5353 Fax: 573-756-4557 | |
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Bjc Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 Fax: 573-756-4557 |