| NPI | 1164752622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK COMPTOM CEO 417-476-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |