| NPI | 1801243639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MACKEY CEO 573-582-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 1407) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |