NPI | 1366746844 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE MICKELS Exective Director 417-623-8933 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MO 2010036933) |
Enumeration Date | 2010-12-27 |
Last Update Date | 2010-12-27 |