| NPI | 1548776131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA L WILLIAMS Director/Owner 573-481-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MO 6448) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |