| NPI | 1700041852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS MCGONIGLE Manager 816-822-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2003019074) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |