| NPI | 1356720585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDISS WILLIAMS Owner 816-301-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2014001218) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |