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 |