| NPI | 1346560869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN OWEN WOOD Owner 573-778-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 01540) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |