Prc Enterprises
NPI #1508925025 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1508925025
- Entity Type
- Organization
- Organization Name
- Prc Enterprises
- Primary Specialty
- Psychologist - Intellectual & Developmental Disabilities
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Jun 12, 2008
Practice Location
- Address
- 650 VINE ST
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-5039
- Phone
- (573) 778-1126
Authorized Official
- Name
- MS. PATRICIA ROSE CAMPBELL
- Title
- OWNER
- Phone
- (573) 778-1126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
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