| NPI | 1265735294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CARLIN President 417-321-4881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2001014377) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2012-05-03 |