| NPI | 1578199238 |
|---|---|
| Doing Business As | CPR YOUTH |
| Entity Type | Organization |
| Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-10-27 |