| NPI | 1386691657 |
|---|---|
| Doing Business As | NORTHWEST MO PSYCHIATRIC REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-09-03 |