| NPI | 1144387499 |
|---|---|
| Other Name | TCM ADULT |
| Entity Type | Organization |
| Authorized Contact | TERESA L PORTER Credentialing Manager 660-890-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-07-04 |