| NPI | 1225463136 |
|---|---|
| Other Name | PREVENTATIVE PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | COLBY L WANG Md 417-886-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MO 2001009509) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |