| NPI | 1548317050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CLARK Health Services Assistant 417-864-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101Y00000X Counselor |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-06-03 |