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 |