| NPI | 1801105978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FAY BALES Owner/Single Member Of LLC 417-862-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |