NPI | 1336270701 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK CONOVER Chief Revenue Officer 573-603-1460 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MO 6300-9238) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2023-03-09 |