| NPI | 1548760820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALOK JAIN Member/Psychiatrist 417-322-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 261Q00000X Clinic/Center | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QU0200X Clinic/Center Urgent Care | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2023-04-17 |