| NPI | 1326677808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA A GREGORY Owner 573-745-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |