| NPI | 1225382435 |
|---|---|
| Doing Business As | HANNIBAL REGIONAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ROGER DIX VP Finance 573-629-1609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |