| NPI | 1851735468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CAROL WESSON Executive Director, Sa Counselor 816-923-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2022-07-21 |