| NPI | 1417302795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA TOLBERT Chief Operating Officer 573-334-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-09-28 |