| NPI | 1750422457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN F HYNEK Executive Director 573-221-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MO 19782870) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 19782870) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-07-21 |