| NPI | 1508936519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN J SCHUTZ Therapist 417-865-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MO 1999137154) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |