| NPI | 1285957001 |
|---|---|
| Doing Business As | TCMH - MOUNTAIN GROVE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA J. PAMPERIEN Chief Financial Officer 417-967-3311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-09-16 |