| NPI | 1578899142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MONROE HARRIS Managing Member 417-885-1364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO CS001970) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |