| NPI | 1205301231 |
|---|---|
| Doing Business As | SSM HEALTH SHAWNEE BEHAVORIAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |