| NPI | 1073101473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA SLACK Owner & Therapist 816-916-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-01-02 |
| Last Update Date | 2021-01-02 |