| NPI | 1023572534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA M MILLER Director 816-646-1798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |