NPI | 1255596862 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA F COOK President/Owner 573-238-3344 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 3009749) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2008-07-23 |