NPI | 1295867042 |
---|---|
Entity Type | Organization |
Authorized Contact | DORIS SAWYER Credentialing Specialist 660-626-0404 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 1199) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2013-09-25 |