Mark Twain Behavioral Health | |
154 Forrest Dr Hannibal MO 63401-5511 | |
(573) 221-2120 | |
(573) 221-4380 |
Full Name | Mark Twain Behavioral Health |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 154 Forrest Dr, Hannibal, Missouri |
Authorized Official Name and Position | Michael Gene Cantrell (PRESIDENT & CEO) |
Authorized Official Contact | 5736009613 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark Twain Behavioral Health 154 Forrest Dr Hannibal MO 63401-5511 Ph: (573) 221-2120 | Mark Twain Behavioral Health 154 Forrest Dr Hannibal MO 63401-5511 Ph: (573) 221-2120 |
NPI Number | 1417004094 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 01/05/2021 |
Certification Date | 01/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417004094 | NPI | - | NPPES |
876173113 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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Mark Twain Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Forrest Dr, Hannibal, MO 63401 Phone: 573-221-2120 Fax: 573-221-4380 | |
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Mark Twain Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Forrest Dr, Hannibal, MO 63401 Phone: 573-221-2120 Fax: 573-221-4380 | |
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