| NPI | 1104878792 |
|---|---|
| Doing Business As | FULTON STATE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MO exempt) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-31 |