| NPI | 1235537002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESA JANE WOODS Executive Director 816-663-5592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO LC1339214) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |