| NPI | 1760653026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARAH YOUNG Owner 417-880-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2005007934) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |