| NPI | 1609635788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYONA NICOLE WILLIAMS Owner 573-691-9983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |