| NPI | 1851534523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A HOHIMER Clinical Director 573-204-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO SW004672) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |