NPI | 1265737472 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER DAWN MILLS Clinical Program COO Rdinator 816-285-1370 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2002004630) |
Enumeration Date | 2011-01-19 |
Last Update Date | 2011-01-19 |