| NPI | 1629101597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL JONES Executive Director 573-471-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 274-8045) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |