| Provider Type: | Ambulatory Health Care Facilities |
| Provider Classification: | Clinic/Center |
| Provider Specialization: | Public Health, State or Local |
| Address: |
200 N Main St Ste G51 Rolla, MO 65401-3070 |
| Phone: | (573) 458-6010 |
| Fax: | (573) 458-6060 |
| Authorized Official: | Waltman, Josephine P, MS, MED, CPNP |
| Authorized Official Position: | Administrator |
| Authorized Official Phone: | (573) 458-6010 |
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