| NPI | 1336197854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN ANDERSON Owner 417-777-5314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 2005038008) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-02-22 |