| NPI | 1033483920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L OWENS Outpatient Therapist, Owner 573-576-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2012002898) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2013-09-13 |