| NPI | 1184165490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE BEARDEN Executive Director 417-929-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-05-04 |