| NPI | 1154700672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK NAPIER Facility Manager 573-888-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |