| NPI | 1972167773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CURTIS Director Of Business Development 417-448-5627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |