Individual provider · Type 1 NPI
Andrea Danielle Cook
Mental Illness Community Based Residential Treatment Facility · Marble Hill, MO
NPI number
1063003242
Active
Practice location
HC 64 Box 4683
Marble Hill, MO 63764-9408
Fax (573) 238-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1063003242
Andrea Danielle Cook's National Provider Identifier is 1063003242, issued on Jan 29, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Marble Hill, MO. The record was last updated on Jan 29, 2021.