| NPI | 1548384670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KING Administrator 417-847-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-06-20 |