| NPI | 1740330406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A MORRIS Clinical Director 417-667-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103G00000X Clinical Neuropsychologist | |
| 103TC1900X Psychologist Counseling | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO R2J90) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-06-23 |