Provider First Line Business Practice Location Address:
DEPARTMENT OF PSYCHIATRY CHILD PSYCHIATRY
Provider Second Line Business Practice Location Address:
1 HOSPITAL DRIVE
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65212-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-882-8907
Provider Business Practice Location Address Fax Number:
573-884-1070
Provider Enumeration Date:
05/21/2012