| NPI | 1841331501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA V BREWER Administrator 660-886-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MO 2002023836) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-05-15 |