| NPI | 1396001723 |
|---|---|
| Former Legal Business Name | MARY M. DICK, INC |
| Entity Type | Organization |
| Authorized Contact | MARY MARGARET DICK Owner 573-449-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO R8178) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |