| NPI | 1952446700 |
|---|---|
| Doing Business As | MCCAMBRIDGE CENTER |
| Entity Type | Organization |
| Authorized Contact | ALLEN TACKER Executive Director 573-443-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |