| NPI | 1861800070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY MORRIS Manager 573-443-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO 2011030640) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |