| NPI | 1932338662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA J SMITH Owner 417-723-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2006038492) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |