| NPI | 1396950614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA GRIFFITH Office Manager 573-334-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-10-04 |