| NPI | 1891137071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL HANCOCK Managing Partner 573-388-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 002485) |
| 101YP2500X Counselor Professional (Licence: MO 2001013209) | |
| 101YP2500X Counselor Professional (Licence: MO 2012009480) | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2018-02-21 |