| NPI | 1881627156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PAUL PENNINGTON Licensed Clinical Social Worker 573-714-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004024505) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |