| NPI | 1720407505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALE C MITCHELL Executive Director 573-875-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |