| NPI | 1013242684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LEE GEENENS President 913-956-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KS 522577) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |