| NPI | 1912623802 |
|---|---|
| Doing Business As | FCC BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | RANDY RAY President/CEO 573-888-5925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |