| NPI | 1306344312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A GANSCHOW Executive Director 816-694-1677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |