| NPI | 1023176054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRON E PRATTE President 573-756-5749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-03-31 |