| NPI | 1922127133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN L. POLLITT Owner 660-827-9875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2001025168) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-06-23 |