| NPI | 1831529189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYLIN RODRIGUEZ Executive Director 913-890-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2013008259) |
| Enumeration Date | 2013-11-23 |
| Last Update Date | 2013-11-23 |