| NPI | 1255883971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M SELLERS Clinic Director 417-272-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MO 006794) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-12-21 |