| Mineral Area Community Psychiatric Rehabilitation Center, Inc. | |
|
203 South Washington Farmington MO 63640-0510 | |
| (573) 756-2899 | |
| (573) 756-4105 |
| Full Name | Mineral Area Community Psychiatric Rehabilitation Center, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 203 South Washington, Farmington, Missouri |
| Authorized Official Name and Position | Vicky Lee Winick (EXECUTIVE PROGRAM 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. Po Box 510 Farmington MO 63640-0510 Ph: (573) 756-2899 | Mineral Area Community Psychiatric Rehabilitation Center, Inc. 203 South Washington Farmington MO 63640-0510 Ph: (573) 756-2899 |
| NPI Number | 1568594380 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568594380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 3607295 (Missouri) | Primary |
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