| NPI | 1659749414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART A CHASE Senior Vice President 816-347-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2022-07-21 |