| NPI | 1710425236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN PECK Managing Member/Owner 417-882-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MO 002112 (LPC)) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 002112 (LPC)) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |