| NPI | 1720359243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC R GOINES Owner 573-332-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2013-04-19 |