| NPI | 1407917404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRON E PRATTE President CEO 573-431-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-05-06 |