| NPI | 1255635660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD CLARENCE WIGGINS Doctor, Pastor 816-737-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |