| NPI | 1467281766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA SMART-DIXON Owner 417-823-9691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |