| NPI | 1275861809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ANDREASSEN Owner 417-597-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2008031131) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2010-08-02 |