| NPI | 1417004094 |
|---|---|
| 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 | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2021-01-05 |