| NPI | 1871651679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM ELAINE SCHMIDT Billing Manager 573-821-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 001674) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-03-04 |