| NPI | 1124562566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JASON GRANT Owner 417-755-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2001008080) |
| Enumeration Date | 2016-12-04 |
| Last Update Date | 2016-12-04 |