| NPI | 1124691134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON W ENGEL Clinical Psychologist/Owner 417-861-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-20 |