| NPI | 1700305281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE BEARDEN Executive Director 417-929-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |