| NPI | 1750972956 |
|---|---|
| Doing Business As | MATTHEW TOMPKINS |
| Entity Type | Organization |
| Authorized Contact | MATTHEW TOMPKINS Owner 573-213-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-04-04 |