| NPI | 1265723787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BROWNING Director 573-874-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: MO 105609) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |