| NPI | 1417712977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA PAYNE Outpatient Mental Health Therapist 573-701-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |