| NPI | 1952098949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI MARIE ALLEN Owner 573-535-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |