| NPI | 1013459908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESSENCE MONTGOMERY CFO 816-599-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2024-10-29 |