| NPI | 1225021090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZHER HUSSAIN Staff Psychiatrist 573-686-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2002002045) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-08-22 |