| NPI | 1528353141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL KRISTIN MCINTYRE Owner 417-848-5574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: MO 2002020631) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2022-02-25 |