| NPI | 1194150755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SMOOT Owner, Clinical Director 660-269-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011036958) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |