Organization Name: | MASSAC COUNTY MENTAL HEALTH |
NPI Number: | 1437306727 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YVONNE RATH (EXECUTIVE DIRECTOR) |
Mailing Address: | 206 W 5th St Metropolis |
State: | IL US |
Postal Code: | 629601810 |
Phone Number: | 6185249368 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |