NPI | 1447280359 |
---|---|
Doing Business As | BOONVILLE IOP VALLEY HOPE |
Entity Type | Organization |
Authorized Contact | KATHY ERBERT Director Of Contract Administration 785-877-5111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MO 3090-10684) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-11-19 |