| NPI | 1598781189 |
|---|---|
| Doing Business As | COMTREA, INC. |
| Entity Type | Organization |
| Authorized Contact | TERESA L PORTER Credentialing Manager 660-890-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-07-04 |