| NPI | 1043696891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FARMER Regional Director 417-862-1972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |