NPI 1003332719
Dragonfly Enterprises INC
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
Community/Behavioral Health Agency
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
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.