| NPI | 1528446986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CONOVER Chief Revenue Officer 660-665-1962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 1199) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2022-07-29 |