| NPI | 1427225275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBY BARNETT CFO 573-632-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 122300000X Dentist | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2018-02-15 |