| NPI | 1699836403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA M ALLEN Office Manager 573-785-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 002436) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2011-05-24 |