NPI | 1275787574 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE H WAGNER Owner 816-926-1036 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2005009318) |
Enumeration Date | 2008-11-13 |
Last Update Date | 2008-11-13 |