| NPI | 1053165522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY STAPLES CFO 417-730-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-05-07 |