| NPI | 1679280408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL WERMUTH Licensed Clinical Social Worker 417-439-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2023-01-30 |