| NPI | 1508254954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MAYBERRY Nurse Practitioner 660-665-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MO 100516) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |