| NPI | 1306200654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TORTORELLO President 417-236-7093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |