| NPI | 1699941641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A HEAD Executive Director 573-686-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MO 188) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |