| NPI | 1497541304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN VELASQUEZ Director 417-669-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |