NPI | 1508015371 |
---|---|
Entity Type | Organization |
Authorized Contact | MORGAN WILLIAMS Owner/Director 417-455-5875 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2002030466) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-09-16 |
Last Update Date | 2019-09-17 |