OrganizationActive
Missouri Department of Mental Health
NPI 1134577653 · Adult Mental Health Clinic/Center · Jefferson City, MO
Provider details
- NPI number
- 1134577653
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lynne Fulks, Director of Administrative Services(573) 751-8142
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1706 E Elm St
Jefferson City, MO 65101-4130
Phone: (573) 751-2940
Approximate (ZIP-level) locationGet directions
Mailing address
1706 E Elm St
Jefferson City, MO 65101-4130
Registry dates
- Enumerated
- 2016-05-25
- Last updated
- 2019-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.