| NPI | 1104223940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA CUSICK Office Manager/Parent Aide 417-437-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 104100000X Social Worker | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2016-02-10 |