NPI | 1578644092 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN ALAN GRITZMACHER President 417-725-8922 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO R0454) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |