| NPI | 1184774275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ESSEX Chief Operating Officer 573-803-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MO 30567335) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-01-31 |