| NPI | 1720238439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH RACHAEL PARKER Provider 573-442-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 002930) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-11-06 |