NPI | 1992838890 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK CONOVER Chief Revenue Officer 573-603-1460 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2007-03-13 |
Last Update Date | 2022-08-01 |