| NPI | 1730449901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE M TYNES Owner 417-883-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 000420) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-06-21 |