| NPI | 1477852960 |
|---|---|
| Doing Business As | NORTHEAST BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ANDREW GRIMM Executive Director 660-627-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 002241) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-06-24 |