NPI | 1831946979 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN R WHITE CEO 573-663-2313 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-05-06 |
Last Update Date | 2024-05-06 |