| NPI | 1023408820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH RAY MACKIE Director 417-838-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2454) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-01-31 |