| NPI | 1871568188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J KLONTZ President 417-781-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R4D32) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-09-17 |