| NPI | 1326814203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BAREMORE Owner/Pmhnp 417-861-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2024-08-09 |