| NPI | 1750553533 |
|---|---|
| Doing Business As | CENTER FOR PSYCHOLOGICAL HEALTH AND WELL-BEING |
| Entity Type | Organization |
| Authorized Contact | BRIAN D PETROVICH Member 417-678-5532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2009-10-26 |