| NPI | 1659421931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM W. CHERRY Office Manager 417-862-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-03-01 |