| NPI | 1386789139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TERRELL Excutive Director 573-471-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 2748045) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-02-03 |