| NPI | 1437872223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A ROEBACK CEO 573-438-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |