| NPI | 1134492390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRON E PRATTE President/CEO 573-431-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |