| NPI | 1467631432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS ANN MARTIN Secutary 816-517-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 320900000X) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |