Whalio Doctors

NPI 1003332719

Dragonfly Enterprises INC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Columbia, MO

Practice location

Address
200 Old Highway 63 S STE 101, Columbia, MO 65201-6081
Phone
(573) 355-1766
Mailing address
1703 Tidewater Dr, Columbia, MO 65202-6423

Authorised official

Name
Kristie Loveall Johnson
Title
Owner
Phone
(573) 355-1765

Registered specialties (4)

Mental Health Clinic/Center (Including Community Mental Health Center) Primary
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1003332719
Entity type
Organization
NPI issued
15 Aug 2017
Record last updated
15 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.