| NPI | 1396446183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYNDHAM O'NEAL Owner 417-278-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2026-04-06 |