| NPI | 1093043481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY V NOBLE Owner 417-667-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |