NPI | 1184771149 |
---|---|
Doing Business As | MARK TWAIN BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | MICHAEL GENE CANTRELL President & CEO 573-600-9613 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2007-01-04 |
Last Update Date | 2021-01-05 |