Heaven Sent Isl

NPI #1124145347 in Columbia, Missouri

Provider Information

NPI Number
1124145347
Entity Type
Organization
Organization Name
Heaven Sent Isl
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 23, 2007
Last Updated
Jul 1, 2008

Practice Location

Address
3001 YUKON DR
ZIP Code
65202-0922
Phone
(573) 886-2191

Authorized Official

Name
MISS DAMARA GAINES
Title
ADMINISTRATOR
Phone
(573) 886-2191

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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