| NPI | 1477739167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON F ZOELLERS Owner/Counselor 573-673-9546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2003031572) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2012-10-30 |