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 |