| NPI | 1205038783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT MCATEE Administrator 660-542-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MO 403-56475) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |