| NPI | 1720438302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ZUBECK Compliance Officer 816-404-3485 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |