Organization Name: | MENTAL HEALTH CARE ASSOC |
NPI Number: | 1962668491 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORRAINE I MILES (OWNER) |
Mailing Address: | 343 Chadron Ave Chadron |
State: | NE US |
Postal Code: | 69337 |
Phone Number: | 3084322133 |
Fax Number: | 3084322133 |
NPI Enumeration Date: | 08/04/2008 |
NPI Last Update Date: | 08/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 412 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |