| NPI | 1164587002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P LYONS Director 417-833-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |