| NPI | 1467195669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J S. LEONARD Founder 660-351-2036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171100000X Acupuncturist | |
| 171400000X Health & Wellness Coach | |
| 175F00000X Naturopath | |
| 225700000X Massage Therapist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2023-02-17 |