| NPI | 1154465763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA TOLBERT Chief Operating Officer 573-334-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MO 2907523) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2024-09-17 |