| NPI | 1982930749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE M ALLEN Owner 573-778-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MO CE 6097) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |