| NPI | 1558122119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH TOMBLEY Director 417-274-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 171400000X Health & Wellness Coach | |
| 175T00000X Peer Specialist | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |