| NPI | 1043649403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN S MCCOY Chief Financial Officer 573-418-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO sw004543) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2006005023) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |