| NPI | 1942333562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL JONES Excutive Director 573-471-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MO 274-8045) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |