| NPI | 1073641254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON HARDER CEO 417-667-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-11-09 |