| NPI | 1811603947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMEO JONES Executive Director 573-514-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-02-05 |