| NPI | 1043977937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A WHITMAN Owner 816-866-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2025-08-26 |