| NPI | 1831787829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIKA AMRINE Clinical Director 816-606-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |