NPI | 1184259913 |
---|---|
Doing Business As | CSTAR |
Entity Type | Organization |
Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2020-03-12 |
Last Update Date | 2020-10-20 |