| Cprw15 | |
|
1105 E 32nd St Suite 2 Joplin MO 64804-2879 | |
| (417) 347-7600 | |
| (417) 347-7608 |
| Full Name | Cprw15 |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1105 E 32nd St, Joplin, Missouri |
| Authorized Official Name and Position | Mary B Parrigon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4173477600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cprw15 Po Box 2526 Joplin MO 64803-2526 Ph: (417) 347-7600 | Cprw15 1105 E 32nd St Suite 2 Joplin MO 64804-2879 Ph: (417) 347-7600 |
| NPI Number | 1760836613 |
|---|---|
| Provider Enumeration Date | 04/18/2016 |
| Last Update Date | 04/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760836613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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