| NPI | 1659512184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A WARREN Owner 417-881-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2002010074) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |