| NPI | 1669547485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHI L CHEUNG President 573-636-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 2456-8434) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |