NPI | 1780848747 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLIE L SHUCK Owner 573-796-2905 |
Organization Subpart ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MO 2000161947) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2008-07-17 |