| NPI | 1619321643 |
|---|---|
| Other Name | OMC BHC MH CRISIS PREVENTION PROJECT |
| Entity Type | Organization |
| Authorized Contact | BARRYLYN SOUNDARARAJAN Provider Enrollment COO Rdinator 417-257-8752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 174-57) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |