| NPI | 1083949200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA R CARTER VP Managed Care 417-761-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005456A) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2025-01-09 |