| NPI | 1598932733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY MOSER Administrator 573-729-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MO 511955205) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2022-06-10 |