| NPI | 1306379482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL E CRAWFORD Pmhnp 573-330-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 103297) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-08-09 |