| Mineral Area Community Psychiatric Rehabilitation Center, Inc. | |
|
560 W Pine St Farmington MO 63640-1426 | |
| (573) 756-2899 | |
| (573) 756-4105 |
| Full Name | Mineral Area Community Psychiatric Rehabilitation Center, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 560 W Pine St, Farmington, Missouri |
| Authorized Official Name and Position | Vicky L Winick (PRESIDENT EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5737562899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mineral Area Community Psychiatric Rehabilitation Center, Inc. 560 W Pine St P O Box 510 Farmington MO 63640-1426 Ph: (573) 756-2899 | Mineral Area Community Psychiatric Rehabilitation Center, Inc. 560 W Pine St Farmington MO 63640-1426 Ph: (573) 756-2899 |
| NPI Number | 1902251507 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902251507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2162 (Missouri) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 2162 (Missouri) | Secondary |
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