| NPI | 1508258153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA L IRONS Counselor 417-827-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2013038034) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |