| NPI | 1508823535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA M INCRIVAGLIA Assistant Director 417-823-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-01-05 |