| NPI | 1326935396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA STARKS Licensed Professional Counselor 417-501-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-21 |
| Last Update Date | 2025-06-21 |