| NPI | 1083432272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CARTER Vice President, Managed Care 417-761-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2025-01-09 |