| NPI | 1306977756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STOPKA CEO 660-240-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: MO 288100605) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-12-11 |