| NPI | 1386299501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN TWITON CEO 417-767-2273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |