| NPI | 1750727640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA L CALLAHAN CEO 573-888-5925 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |