| NPI | 1063674331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A ALEWEL Director 573-636-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 002477) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |