| NPI | 1285046037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE RENEE GOTTMAN Registered Nurse 573-221-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MO 2004008342) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |