| NPI | 1467930552 |
|---|---|
| Doing Business As | BRISTOL ADVANCED ILLNESS MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | BRANDY PRATT President 573-760-3730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2023-01-06 |