NPI | 1619414471 |
---|---|
Entity Type | Organization |
Authorized Contact | ROYCE LAMARR Bc His Owner 573-756-0555 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: MO N000703652) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2017-01-31 |