| NPI | 1053514117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LUCY President 573-472-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 856793906) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |