NPI | 1154069540 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL LIIMATTA Chief Operating Officer 816-768-6541 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-05-25 |
Last Update Date | 2022-05-25 |