| NPI | 1780260950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY BUCKTHORPE Director Of Compliance 417-893-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-22 |