| NPI | 1427347871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D. GOULD CEO/President 573-334-7995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2005012218) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |