| Central Mo Behavioral Health Llc | |
|
115 E Grandriver St Clinton MO 64735-2115 | |
| (660) 227-0467 | |
| Not Available |
| Full Name | Central Mo Behavioral Health Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 115 E Grandriver St, Clinton, Missouri |
| Authorized Official Name and Position | Jennifer L Hudson (OWNER) |
| Authorized Official Contact | 6602270467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Mo Behavioral Health Llc 115 E Grandriver St Clinton MO 64735-2115 Ph: (660) 227-0467 | Central Mo Behavioral Health Llc 115 E Grandriver St Clinton MO 64735-2115 Ph: (660) 227-0467 |
| NPI Number | 1366130957 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366130957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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