| NPI | 1194042002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM HARSHMAN Member 417-597-4572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2005009298) |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2011-12-29 |