| Heaven Sent Isl | |
|
3001 Yukon Dr Columbia MO 65202-0922 | |
| (573) 886-2191 | |
| Not Available |
| Full Name | Heaven Sent Isl |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3001 Yukon Dr, Columbia, Missouri |
| Authorized Official Name and Position | Damara Gaines (ADMINISTRATOR) |
| Authorized Official Contact | 5738862191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heaven Sent Isl 3001 Yukon Dr Columbia MO 65202-0922 Ph: (573) 886-2191 | Heaven Sent Isl 3001 Yukon Dr Columbia MO 65202-0922 Ph: (573) 886-2191 |
| NPI Number | 1124145347 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124145347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1982-8946 (Missouri) | Primary |
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