| NPI | 1437831310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELIZABETH CORBIN-DAULTON Owner 417-321-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-12-07 |