| NPI | 1679879704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA L STAUFFER Administrator 417-256-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2008008964) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2012-01-10 |