Omc Youth Tcm
NPI #1518169481 in West Plains, Missouri
Provider Information
- NPI Number
- 1518169481
- Entity Type
- Organization
- Organization Name
- Omc Youth Tcm
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 4, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 909 N KENTUCKY AVE
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-2024
- Phone
- (417) 257-6762
Authorized Official
- Name
- PHIL BAGBY
- Title
- PRESIDENT AND CEO
- Phone
- (417) 256-9111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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