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Organization · Community/Behavioral Health Agency · O Fallon, MO

NPI
1821437161
Type
Organization (Type 2)
Primary specialty
Community/Behavioral Health Agency (Community/Behavioral Health)
Specialty group
Agencies
Taxonomy code
251S00000X
License number
2013012245 (MO)
Enumerated
2013-06-20
Last updated
2013-06-20
Practice location
105 Sheriff Dierker Ct
O Fallon, MO 63366-2468
(636) 978-7785

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