| NPI | 1881838134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA TRICKEY CEO/President 816-421-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2011-10-13 |