NPI | 1255724654 |
---|---|
Entity Type | Organization |
Authorized Contact | JAHI BOSEDA Counselor 816-679-2160 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MO No.6748) |
Enumeration Date | 2015-03-09 |
Last Update Date | 2015-04-10 |