| Mark Twain Behavioral Health | |
|
154 Forrest Dr Hannibal MO 63401-5511 | |
| (573) 221-2120 | |
| (573) 221-4380 |
| Full Name | Mark Twain Behavioral Health |
|---|---|
| Speciality | Community/behavioral 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 | 1447307004 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 01/05/2021 |
| Certification Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447307004 | NPI | - | NPPES |
| 152473500 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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