| NPI | 1144648569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN KUSCHEL Director 417-229-2548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2002026260) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |