| NPI | 1689111379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MANZER FARRELL Owner 417-413-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MO 2016005653) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 2016005653) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-02-13 |