| NPI | 1073012217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E DALE Propietor 573-803-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013011401) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |