| NPI | 1528124500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S GULLEY Owner 573-445-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R4P17) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |