NPI | 1154754794 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN BERTRAND MURCH Owner 816-436-0371 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 2013004423) |
Enumeration Date | 2013-08-19 |
Last Update Date | 2013-08-19 |