| NPI | 1922174978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED MELTON Member/Director 417-894-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO LC0777679) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-08-27 |