| NPI | 1902251507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY L WINICK President Executive Director 573-756-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 2162) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MO 2162) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |