| NPI | 1235539685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA ELAINE DANIEL Owner 417-881-9518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 2005028849) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |