| NPI | 1083897292 |
|---|---|
| Doing Business As | NORTHEAST BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ANDREW H GRIMM Executive Director 660-627-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2003016131) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2011-06-17 |