| NPI | 1427051069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE P WALTMAN Administrator 573-458-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local (Licence: MO N/A) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2007-08-15 |