| NPI | 1811750540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMEO JONES Chief Executive Director 573-514-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |