Whalio Doctors

NPI 1164553475

Preferred Family Healthcare

Organisation Children's Substance Abuse Rehabilitation Facility Hannibal, MO

Practice location

Address
4355 Paris Gravel Rd, Hannibal, MO 63401-6017
Phone
(573) 248-3811
Fax
(573) 248-3080
Mailing address
1601 Old South River Rd, Saint Charles, MO 63303-4120

Authorised official

Name
Mark Conover
Title
Chief Revenue Officer
Phone
(573) 603-1460

Registered specialties (2)

Children's Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 3245S0500X Licence 6300-9238 (MO)
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence 6300-9238 (MO)

Registry record

NPI
1164553475
Entity type
Organization
NPI issued
8 Mar 2007
Record last updated
10 Jun 2022

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.