| NPI | 1194043968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN D PORTER Clinical Director 573-823-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care (Licence: KS 07070894) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |