NPI | 1235867607 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLA WOLF Therapist 417-621-5965 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-08-12 |
Last Update Date | 2024-01-25 |