| NPI | 1063801850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY KEATON Owner/Clinician 417-890-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2005024323) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |