| NPI | 1114791134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA COPPEDGE CEO 417-380-3652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |