| NPI | 1508204678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA D CASTILLO Owner 417-350-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011001218) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |