| NPI | 1003123597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED MELTON Executive Director 417-894-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO LC1083359) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |