| NPI | 1174274831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CURRY Court Services Administrator 660-665-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |