| NPI | 1235244757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA TOLBERT Chief Operating Officer 573-334-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 290-7523) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-09-17 |