| NPI | 1477584647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONDA DAMPIER Administrator 573-346-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MO 12485519) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-02-04 |