| NPI | 1003316803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE D RICKMAN Nurse Practitioner/Owner 417-437-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 76214) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2022-10-31 |