| NPI | 1134302656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JENKINS President 417-860-3708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R8N52) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |