| NPI | 1083343842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA PURDOME Owner 573-528-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |