| None | |
|
12677 Heavenly Acres Dr New London MO 63459-2436 | |
| (573) 248-1372 | |
| (573) 248-1375 |
| Full Name | None |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12677 Heavenly Acres Dr, New London, Missouri |
| Authorized Official Name and Position | Michael Schwend (PRESIDENT OF THE BOARD) |
| Authorized Official Contact | 5732481372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None Po Box 468 Hannibal MO 63401-0468 Ph: (573) 248-1372 | None 12677 Heavenly Acres Dr New London MO 63459-2436 Ph: (573) 248-1372 |
| NPI Number | 1841512639 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 02/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841512639 | NPI | - | NPPES |
| 876176405 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2469-10009 (Missouri) | Primary |
Comprehensive Health Systems, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12677 Heavenly Acres Dr, New London, MO 63459 Phone: 573-248-1372 Fax: 573-248-1375 | |
Comprehensive Health Systems, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12677 Heavenly Acres Dr, New London, MO 63459 Phone: 573-248-1372 Fax: 573-248-1375 |