| NPI | 1255934972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GALLEMORE Co Owner 417-291-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2021-01-12 |