| NPI | 1982069159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MCCANN Program Coordinator 573-882-8907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MO 2015040404) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |