| NPI | 1053587469 |
|---|---|
| Former Legal Business Name | KANSAS CITY COMMUNITY CENTER |
| Entity Type | Organization |
| Authorized Contact | MYRNA TRICKEY President/CEO 816-421-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2014-06-23 |