| NPI | 1427733898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RAYMOND Clinic Director 417-343-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-08-25 |