| NPI | 1336473958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA KAY BROZ Therapist 573-768-2413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2007020583) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |