| NPI | 1699195453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KENT JEWELL Executive Director 816-842-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MO 1587) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |