NPI | 1215230602 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY D SCHNEIDER Licensed Clinical Social Worker 573-446-6290 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X (Licence: MO 000600) |
Enumeration Date | 2010-12-07 |
Last Update Date | 2010-12-07 |