| NPI | 1437796760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SUMPTER Therapist 573-723-2368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2021-06-23 |