| NPI | 1699173757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK CHRISTIAN PETERSEN Chief Medical Officer 816-875-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MO FL001411027) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |