NPI | 1447886288 |
---|---|
Doing Business As | CPR ADULT |
Entity Type | Organization |
Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
Enumeration Date | 2020-03-12 |
Last Update Date | 2020-09-03 |