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 |