NPI 1053368159

SSM Regional Health Services

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

Practice location

Address: 2701 West Edgewood Suite 101, Jefferson City, MO 65109
Phone: (573) 634-5303
Fax: (573) 761-6888
Mailing address: 7655 Solutions Ctr, Chicago, IL 60677-7006

Authorised official

Name: Shasta Rene Manuel
Title: Regional Vice President Finance/Cfo
Phone: (405) 272-7282

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1053368159
Entity type: Organization
NPI issued: 27 May 2006
Record last updated: 16 Dec 2025

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.