| NPI | 1760836613 |
|---|---|
| Doing Business As | CPRW15 |
| Entity Type | Organization |
| Authorized Contact | MARY B PARRIGON Executive Director 417-347-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |