| NPI | 1174625388 |
|---|---|
| Doing Business As | LDS FAMILY SERVICES MO BRIDGETON |
| Entity Type | Organization |
| Authorized Contact | PAUL R. GALE Agency Director 816-461-5512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 2002002940) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2008-06-06 |