| NPI | 1063201929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ERICKSON CFO 913-533-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |