| NPI | 1063102226 |
|---|---|
| Doing Business As | EMBARK VIRTUAL AT MISSOURI |
| Entity Type | Organization |
| Authorized Contact | LAURA J BROWN VP Of Revenue Cycle Management 661-829-4060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-06-20 |