STATE OF MISSOURI

NEVADA, MO
NPI1114971702
Doing Business AsNEVADA HABILITATION CENTER
Entity TypeOrganization
Authorized ContactMOLLY JANE BOECKMANN
Director Of Administrative Services
573-751-4055
Organization Subpart ?Yes
Primary Taxonomy208D00000X General Practice
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2006-05-19
Last Update Date2020-08-26
Business Address
STATE OF MISSOURI
2323 N ASH ST
NEVADA, MO 64772-1054
Phone number: 417-667-7833
Mailing Address
STATE OF MISSOURI
1706 E ELM ST
JEFFERSON CITY, MO 65101-4130
Phone number: 573-751-3398
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