NPI | 1497022321 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA LIGHTLE Mbr 573-822-4306 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2006025673) |
Enumeration Date | 2011-11-21 |
Last Update Date | 2011-11-21 |