NPI | 1407063043 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRI K MORRIS CEO 417-667-8352 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YP2500X Counselor Professional | |
103G00000X Clinical Neuropsychologist | |
103TA0400X Psychologist Addiction (Substance Use Disorder) | |
103TC0700X Psychologist Clinical | |
103TC1900X Psychologist Counseling | |
103TP2701X Psychologist Group Psychotherapy | |
1041C0700X Social Worker Clinical | |
2084P0800X Psychiatry & Neurology Psychiatry | |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |