Missouri Department of Mental Health
NPI #1134577653 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1134577653
- Entity Type
- Organization
- Organization Name
- Missouri Department of Mental Health
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- May 25, 2016
- Last Updated
- Aug 26, 2019
Practice Location
- Address
- 1706 E ELM ST
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-4130
- Phone
- (573) 751-2940
Authorized Official
- Name
- LYNNE FULKS
- Title
- DIRECTOR OF ADMINISTRATIVE SERVICES
- Phone
- (573) 751-8142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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