| NPI | 1750586103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE DANNER Owner 573-221-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004013377) |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2021-06-30 |