| NPI | 1932504305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MCDONALD Executive Director 417-823-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO BUSA200801401) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |