| NPI | 1114924768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL TAYLOR CEO 417-837-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 4546) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 454-8) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-12-09 |