STATE OF MISSOURI

General Practice Physician

NPI: 1114971702Organization

Specialties, Licenses & Credentials

Psychiatry Physician

Psychiatry & Neurology — Psychiatry

Code: 2084P0800X

General Practice PhysicianPrimary

General Practice

Code: 208D00000X

Contact & Hours

Address: 2323 N ASH ST, NEVADA HABILITATION CENTER
NEVADA, MO 64772
Phone: (417) 667-7833

Quick Facts

NPI: 1114971702
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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