| NPI | 1699947820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY J MILLER Licensed Clinical Social Worker 417-627-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |