| NPI | 1033499256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINNIFRED CHIRNSIDE Program Specialist 573-814-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 273Y00000X Rehabilitation Unit | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 291U00000X Clinical Medical Laboratory | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |