Organization Name: | STATE OF MISSOURI |
NPI Number: | 1396798237 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENT MCGINTY (DMH DIRECTOR OF ADMINISTRATION) |
Mailing Address: | 1301 Industrial Pkwy E El Dorado Springs |
State: | MO US |
Postal Code: | 647446263 |
Phone Number: | 4178761002 |
Fax Number: | 4178761004 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 12/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |