| NPI | 1609254093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE E THOMAS Owner 417-425-2907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2005014860) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |