| NPI | 1063836484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MICHELLE BROWN Owner 573-268-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004033738) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |