| NPI | 1851745707 |
|---|---|
| Doing Business As | CSTARW15 |
| Entity Type | Organization |
| Authorized Contact | MARY B. PARRIGON Executive Director 417-347-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |