| NPI | 1861559023 |
|---|---|
| Other Name | CPR YOUTH |
| Entity Type | Organization |
| Authorized Contact | TERESA PORTER Credentialing Manager 660-885-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-08-29 |