| 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 |