| NPI | 1447391917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD RENTFROW Director 816-836-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 110) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-06-11 |