Preferred Family Healthcare, INC.
Clinic/Center, Adult Mental Health in Kirksville, MO. Organization (NPI-2).
NPI number1952446064
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1952446064
- Entity type
- Organization (NPI-2)
- Legal business name
- Preferred Family Healthcare, INC.
- Organization subpart
- Yes
- Enumeration date
- Feb 20, 2007
- Certification date
- Aug 1, 2022
- Last updated
- Aug 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 6300-9238 | MO | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 6300-9238 | MO |
Practice location
1101 Jamison StKirksville, MO 63501-3943
Phone 660-665-1962 · Fax 660-627-0642
Mailing address
1601 Old South River RdSaint Charles, MO 63303-4120
Phone 636-224-1210 · Fax 636-246-1008
Authorized official
Mark Conover
Chief Revenue Officer
5736031460
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