| NPI | 1003018417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M VAN PELT Executive Director 573-334-3329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-02-10 |