| NPI | 1649462730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY BROOKE PARKER Owner Manager Consultant 417-234-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2008-07-28 |