| 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 |