| NPI | 1861609141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA ANCA PUSCARIU President 816-435-9259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 2000170155) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |