| 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 |