| NPI | 1609954809 |
|---|---|
| Doing Business As | PASEO CLINIC |
| Entity Type | Organization |
| Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MO exempt) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-10-27 |