NPI | 1154368512 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA R CARTER VP Managed Care 417-761-5126 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-06-02 |
Last Update Date | 2025-01-09 |