| NPI | 1619270204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CONOVER Chief Revenue Officer 660-665-1962 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 6300-11443) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2023-07-11 |