| NPI | 1013041961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY A HAMMOND Chief Executive Officer 816-364-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |