| NPI | 1669829685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLIE R SEE Utilization Review Director 573-746-7390 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2023-06-20 |