| NPI | 1447629829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN HARMON Business Manager 573-443-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 2010027808) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |