| NPI | 1871815100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GEYER Mental Health Director 573-778-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2005018698) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |