| NPI | 1013292465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN EVEN Director 573-882-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 2010036612) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |