| NPI | 1831614346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS DENISE MCQUERTER Licensed Professional Counselor 573-620-0639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2013023047) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |