NPI | 1992247928 |
---|---|
Doing Business As | COMTREA |
Entity Type | Organization |
Authorized Contact | TERESA L PORTER Credentialing Manager 660-890-8156 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2016-11-08 |
Last Update Date | 2023-07-04 |