NPI | 1184106635 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY K MUNDT Owner/Manager 417-319-1318 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013026556) |
Enumeration Date | 2018-08-31 |
Last Update Date | 2018-08-31 |