| NPI | 1851457840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY T. EVANS Clinical Director 573-426-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 003819) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |