| NPI | 1225773401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LYNN ZUBECK Compliance Officer 816-404-3485 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |