| NPI | 1093871378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA E THOMPSON Program Coordinator 573-634-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MO e00524266) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2017-09-25 |