| NPI | 1487718326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN BOONE Administrator 417-889-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO CS 1086) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 300047) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |