| Family Institute Of Mental Health, Inc. | |
|
281 S Jefferson Ave Suite J Lebanon MO 65536-3226 | |
| (417) 588-2933 | |
| Not Available |
| Full Name | Family Institute Of Mental Health, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 281 S Jefferson Ave, Lebanon, Missouri |
| Authorized Official Name and Position | Betsy Hacker Wahl (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 4175882933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Institute Of Mental Health, Inc. 23175 Paradise Dr Lebanon MO 65536-5146 Ph: (417) 588-2933 | Family Institute Of Mental Health, Inc. 281 S Jefferson Ave Suite J Lebanon MO 65536-3226 Ph: (417) 588-2933 |
| NPI Number | 1114189180 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114189180 | NPI | - | NPPES |
| 1508837857 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000080 (Missouri) | Primary |
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