| Organization Name: | NORTHEAST MISSOURI HEALTH COUNCIL, INC. |
| NPI Number: | 1104829498 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW H. GRIMM (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1416 Crown Drive Kirksville |
| State: | MO US |
| Postal Code: | 635012548 |
| Phone Number: | 6606275757 |
| Fax Number: | 6606275802 |
| NPI Enumeration Date: | 05/31/2005 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2003032101 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |