| NPI | 1255510699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW H GRIMM Executive Director 660-627-5757 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2003032101) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2011-02-17 |