| NPI | 1912361627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHI CHEUNG Chief Executive Officer 573-636-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |