| NPI | 1861590861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH B MILLER CEO 417-831-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2021-12-02 |