| NPI | 1790804128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L. WELLS Administrative Assistant 417-272-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MO 511209207) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-11-12 |