| NPI | 1063782241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE E. MORROW Director 573-996-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: MO RN 120555) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |