| NPI | 1750692638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELLO A ADEJOH Owner 573-359-1372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: PA 2084p0804x) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2013-09-26 |