Organization Name: | COMC |
NPI Number: | 1649518382 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MITCHELL DON MCFALL (THERAPIST) |
Mailing Address: | 5260 S Tanager Ave Battlefield |
State: | MO US |
Postal Code: | 656199222 |
Phone Number: | 4178187701 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2013 |
NPI Last Update Date: | 01/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | 20001009704 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |