| NPI | 1750857827 |
|---|---|
| Doing Business As | KANSAS CITY INDIAN CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICK P PRUITT Mo RN Ingstar Program Director 816-421-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-10-05 |