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 |