| NPI | 1043723497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB F. BORN President 316-303-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 53-74595-091) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-06-16 |