| NPI | 1073286803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA FLEMING Manager 417-989-9287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |