| NPI | 1568985075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY DRAKE Office Manager 417-766-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2274) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |